| Bastrop Modern Dentistry | |
|
1670 Hwy 71 E, Suite A Bastrop TX 78602 | |
| (512) 240-6496 | |
| Not Available |
| Full Name | Bastrop Modern Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1670 Hwy 71 E, Suite A, Bastrop, Texas |
| Authorized Official Name and Position | John S Barnes (OWNER DENTIST) |
| Authorized Official Contact | 5122406496 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bastrop Modern Dentistry 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Bastrop Modern Dentistry 1670 Hwy 71 E, Suite A Bastrop TX 78602 Ph: (512) 240-6496 |
| NPI Number | 1093252611 |
|---|---|
| Provider Enumeration Date | 01/20/2017 |
| Last Update Date | 01/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093252611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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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 | |
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