MEDICARE: STEPHANIE BATISTA DMD PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1821956848
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEPHANIE BATISTA DMD PLLC

Provider Business Mailing Address
First Line	:	6423 POINT ISABEL WAY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89122-7640
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6423 POINT ISABEL WAY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89122-7640
Country	:	US
Telephone Number	:	818-384-5407
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	STEPHANIE MARC CASEQUIN BATISTA
Credential	:	DMD
Telephone Number	:	818-384-5407

Provider Enumeration Date	:	01/10/2026
Last Update Date	:	01/10/2026

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