Valerie Ann Bastin, DDS

Individual provider Active NPI General Practice Dentistry · Tipton, IN

NPI 1366495699 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1366495699
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
12009404 (IN)
Practice address
115 W Jefferson St
Tipton, IN 46072-1802
Phone
(765) 675-9400
Fax
(765) 452-6264
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
12009404INMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12009404 IN Yes

Addresses

Primary practice location

115 W Jefferson St
Tipton, IN 46072-1802

Mailing address

115 W Jefferson St
Tipton, IN 46072-1802
Phone (765) 675-9400

Other providers in Tipton, IN

All providers in Tipton, IN · General Practice Dentistry in Indiana

Sources for this page

Verify at the official NPI Registry.