Pecan Street Dental

LBN: Pecan Street Dental
Pecan Street Dental is an health care organization with primary practice located at 708 Pecan St , Bastrop TX 78602-3816. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Pecan Street Dental can be contacted via phone (512) 321-2188, or through Deutsch, Kevin via phone (512) 321-2188.

Contact Information

Primary practice address
708 Pecan St Bastrop TX 78602-3816
Phone: (512) 321-2188
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Deutsch, Kevin
Phone: (512) 321-2188

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 25628 Texas

Profile Details

NPI number 1558813030
LBN Legal business name Pecan Street Dental
DBA Doing business as
Authorized official Deutsch, Kevin
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2016
Last updated Oct 31st, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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