Organization
ECONOMY DENTAL, INC.
Active
Other names
Bastrop Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
GENE GRESS DDS (OWNER)
(512) 461-4027
Entity
Organization
Contact information
Practice address
1113 MAIN ST, BASTROP, TX 78602-3218
(512) 332-2353
(512) 332-2620
Mailing address
11100 PARKFIELD DR, AUSTIN, TX 78758-4263
(512) 332-2353
(512) 332-2620
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13087
TX
1223P0221X
Pediatric Dentistry
24336
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199666201
—
TX
Enumeration date
02/24/2009
Last updated
04/27/2009
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