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Edgar Gary Bautista, DDS
NPI 1902158801 · General Practice Dentistry · New York, NY
Edgar Gary Bautista, DDS is a General Practice Dentistry provider in New York, NY (NPI 1902158801).
Provider details
- NPI number
- 1902158801
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 034002 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
81 Irving Place
Suite 1-D
New York, NY 10003-2257
Phone: (212) 260-2652
Fax: (212) 533-3331
Street-level locationGet directions
Mailing address
81 Irving Place,
New York, NY 10003-2257
Registry dates
- Enumerated
- 2012-10-03
- Last updated
- 2012-10-03
Frequently asked questions
- What is Edgar Gary Bautista's NPI number?
- Edgar Gary Bautista's National Provider Identifier (NPI) is 1902158801, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edgar Gary Bautista's specialty?
- Edgar Gary Bautista is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Edgar Gary Bautista located?
- Edgar Gary Bautista's practice location on file with NPPES is 81 Irving Place, New York, NY 10003-2257.
- What is Edgar Gary Bautista's phone number?
- The practice phone number listed in the NPPES registry for Edgar Gary Bautista is (212) 260-2652.
- Is Edgar Gary Bautista's NPI active?
- Yes — Edgar Gary Bautista's NPI (1902158801) is active in the NPPES registry as of the last update on 2012-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.