OrganizationActive
Dr Damaris Bastian Gen.dent. LLC
NPI 1609089002 · Dentist · Fayetteville, GA
Dr Damaris Bastian Gen.dent. LLC is a Dentist organization in Fayetteville, GA (NPI 1609089002).
Provider details
- NPI number
- 1609089002
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Damaris Bastian, Owner(678) 884-5352
- License
- 5087 (LA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
101 Devant St Ste 404
Fayetteville, GA 30214-2713
Phone: (678) 884-5352
Street-level locationGet directions
Mailing address
101 Devant St Ste 404
Fayetteville, GA 30214-2713
Registry dates
- Enumerated
- 2007-05-08
- Last updated
- 2021-11-08
- Certified
- 2021-11-08
Frequently asked questions
- What is Dr Damaris Bastian Gen.dent. LLC's NPI number?
- Dr Damaris Bastian Gen.dent. LLC's National Provider Identifier (NPI) is 1609089002, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dr Damaris Bastian Gen.dent. LLC?
- Dr Damaris Bastian Gen.dent. LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Dr Damaris Bastian Gen.dent. LLC located?
- Dr Damaris Bastian Gen.dent. LLC's practice location on file with NPPES is 101 Devant St Ste 404, Fayetteville, GA 30214-2713.
- What is Dr Damaris Bastian Gen.dent. LLC's phone number?
- The practice phone number listed in the NPPES registry for Dr Damaris Bastian Gen.dent. LLC is (678) 884-5352.
- Who is the authorized official for Dr Damaris Bastian Gen.dent. LLC?
- The authorized official listed on Dr Damaris Bastian Gen.dent. LLC's NPPES record is Damaris Bastian, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dr Damaris Bastian Gen.dent. LLC's NPI active?
- Yes — Dr Damaris Bastian Gen.dent. LLC's NPI (1609089002) is active in the NPPES registry as of the last update on 2021-11-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.