PEDIATRIC DENTISTRY OF BASTROP PLLC
NPI 1487492450
Dentist - Pediatric Dentistry in Seguin, TX

Active since July 16, 2024
751 BEST DR STE C, SEGUIN, TX 78155(830) 837-0153 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2024, Jul 16, 2024 (2 updates tracked since 2024).

About Pediatric Dentistry Of Bastrop Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC DENTISTRY OF BASTROP PLLC (NPI 1487492450) is a healthcare organization registered as a pediatric dentistry in Seguin, Texas and active in the NPI registry since July 2024. The organization maintains a secondary practice location in Bastrop and lists Matthew Lassen, Member, as its authorized official.

NPPES Registry Identity

NPI1487492450
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTISTRY OF BASTROP PLLC
Location Address751 BEST DR STE CSeguin, TX 78155-3637
Mailing Address1207 Chestnut StBastrop, TX 78602-3307 · (830) 837-0153
Organization SubpartNo
Authorized OfficialMatthew LassenMember · (801) 362-1848
Enumeration DateJuly 16, 2024
Last NPPES UpdateAugust 13, 20242 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
NPI 1487492450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
751 BEST DR STE C, Seguin, TX 78155

Secondary Practice Location 1

Location 11207 Chestnut StBastrop, TX 78602-3307 · Phone (830) 837-0153

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Dentistry Of Bastrop PLLC's NPI number?

The NPI number for Pediatric Dentistry Of Bastrop PLLC is 1487492450. It was assigned to this organization in the NPPES registry on July 16, 2024.

Where is Pediatric Dentistry Of Bastrop PLLC located?

Pediatric Dentistry Of Bastrop PLLC is located at 751 Best Dr Ste C, Seguin, TX 78155. The listed phone number is (830) 837-0153.

What is Pediatric Dentistry Of Bastrop PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Pediatric Dentistry Of Bastrop PLLC was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.