| Bastrop Family Dental | |
|
1113 Main St Bastrop TX 78602-3218 | |
| (512) 332-2353 | |
| (512) 332-2620 |
| Full Name | Bastrop Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1113 Main St, Bastrop, Texas |
| Authorized Official Name and Position | Gene Gress (OWNER) |
| Authorized Official Contact | 5124614027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bastrop Family Dental 11100 Parkfield Dr Austin TX 78758-4263 Ph: (512) 332-2353 | Bastrop Family Dental 1113 Main St Bastrop TX 78602-3218 Ph: (512) 332-2353 |
| NPI Number | 1366682817 |
|---|---|
| Provider Enumeration Date | 02/24/2009 |
| Last Update Date | 04/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366682817 | NPI | - | NPPES |
| 199666201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13087 (Texas) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 24336 (Texas) | Secondary |
Bastrop Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1113 Main St, Bastrop, TX 78602 Phone: 512-332-2353 | |
Bastrop Modern Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1670 Hwy 71 E, Suite A, Bastrop, TX 78602 Phone: 512-240-6496 | |
Signature Smiles Of Bastrop Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 Old Austin Highway, Suite 400, Bastrop, TX 78602 Phone: 512-809-4228 Fax: 512-809-4228 | |
One Smile Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Childers Dr Ste 117, Bastrop, TX 78602 Phone: 512-582-7970 | |
Spring St Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 Spring St, Bastrop, TX 78602 Phone: 512-321-1600 | |
Cs Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 708 Pecan St, Bastrop, TX 78602 Phone: 512-321-2188 |