BASTROP MODERN DENTISTRY,PC (NPI# 1093252611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093252611 |
| Entity Type | Organization |
| Organization Name | BASTROP MODERN DENTISTRY,PC |
| Other Organization Name | BASTROP MODERN DENTISTRY |
| Practice Address |
1670 Hwy 71 E, Suite A Bastrop TX 78602 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 5122406496 |
| Mailing Telephone | 7148458890 |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |
| Authorized Official Name | DR. JOHN S BARNES (OWNER DENTIST) |
| Authorized Official Telephone | 5122406496 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Bastrop Modern Dentistry | Doing Business As Name - Organization |
| Street Address |
1670 HWY 71 E, SUITE A |
| City | BASTROP |
| State | TX |
| Zip Code | 78602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467076489 | Eve Barton | Counselor | 1368 Farm-to-market Road, Bastrop, TX 78602 | 2020-06-05 |
| 1679030365 | Pompeyo C. Chavez, M.d., Pllc | Family Medicine | 3101 Hwy 71e, Suite 100, Bastrop, TX 78602 | 2019-02-28 |
| 1477025815 | Anna Slavinsky | Pharmacist | 504 State Highway 71 W, Bastrop, TX 78602 | 2018-12-26 |
| 1770076689 | Frontier Radiology | Clinic/Center | 3101 Highway 71e Suite 108, Bastrop, TX 78602 | 2018-06-14 |
| 1881101301 | The Dentists Pllc | Dentist | 301 Highway 71 W Ste 200, Bastrop, TX 78602 | 2018-01-05 |
| 1598286148 | Roadrunner Ultrasound Equipment, LLC | Physiological Laboratory | 704 Hwy 71 W. Ste C300, Bastrop, TX 78602 | 2017-07-05 |
| 1619426301 | Josie Cedillo | Social Worker | 1011 Alley A, Bastrop, TX 78602 | 2016-09-23 |
| 1235508565 | Bonnie Jean Kemnitz | Veterinarian | 2900 Tx-95 North, Bastrop, TX 78602 | 2015-09-16 |
| 1457749558 | Rudy Torres Jr. | Occupational Therapy Assistant | 140 Nanakuli Drive, Bastrop, TX 78602 | 2014-12-26 |
| 1912320763 | Cynthia Pokluda | Physician Assistant | 1341 Tx-95, Bastrop, TX 78602 | 2014-01-30 |
| Find all providers in zip 78602 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255808705 | James Woodfin Sullivan | Dentist | 121 Kaneohe Ln, Bastrop, TX 78602-7252 | 2018-11-01 |
| 1245646181 | Patricia Adesanya | Dentist | 275 S Jackson St, Bastrop, TX 78602-4313 | 2014-07-10 |
| 1124395389 | Chad M Gardner Dds A Professional Dental Corporation | Dentist | 625 S Washington St, Bastrop, LA 71220-5034 | 2011-11-16 |
| 1760717102 | Morehouse Community Medical Centers, Inc. | Dentist | 268 Harrington St, Bastrop, LA 71220-3026 | 2009-10-02 |
| 1174625289 | Tod Blane Lawhon | Dentist | 945 East Madison Ave, Bastrop, LA 71220 | 2006-09-01 |
| 1184636839 | Claude S Pratt | Dentist | 422 Durham St, Bastrop, LA 71220-5067 | 2006-08-12 |
| 1558813030 | Pecan Street Dental | Dentist | 708 Pecan St, Bastrop, TX 78602-3816 | 2016-10-31 |
| 1801275573 | Mary Webster Rachal | Dentist | 518 Durham St, Bastrop, LA 71220-5013 | 2015-05-27 |
| 1629417852 | Cole Thomas Smith | Dentist | 708 Pecan St, Bastrop, TX 78602-3816 | 2013-06-20 |
| 1710237557 | Brian Romney | Dentist | 805 Spring St, Bastrop, TX 78602-3230 | 2012-09-19 |
| Find all providers in BASTROP | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.