| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 708 Pecan St, Bastrop, Texas |
| Authorized Official Name and Position | Cole Thomas Smith (DENTIST) |
| Authorized Official Contact | 5123212188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2121 Allen Pkwy Apt 4069 Houston TX 77019-2458 Ph: (248) 933-2387 | 708 Pecan St Bastrop TX 78602-3816 Ph: (512) 321-2188 |
| NPI Number | 1427574706 |
|---|---|
| Provider Enumeration Date | 08/17/2017 |
| Last Update Date | 01/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427574706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Bastrop Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1113 Main St, Bastrop, TX 78602 Phone: 512-332-2353 | |
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 | |