| Bastrop Orthodontics | |
|
301 Highway 71 W Suite 201 Bastrop TX 78602-4105 | |
| (512) 321-1000 | |
| (512) 332-2363 |
| Full Name | Bastrop Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 301 Highway 71 W, Bastrop, Texas |
| Authorized Official Name and Position | Stanton J. Henry (PARTNER) |
| Authorized Official Contact | 5126959404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bastrop Orthodontics 301 Highway 71 W Suite 201 Bastrop TX 78602-4105 Ph: (512) 321-1000 | Bastrop Orthodontics 301 Highway 71 W Suite 201 Bastrop TX 78602-4105 Ph: (512) 321-1000 |
| NPI Number | 1508084294 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508084294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | () | Primary |
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