OrganizationActive
Pecan Street Dental
NPI 1558813030 · Dentist · Bastrop, TX
Pecan Street Dental is a Dentist organization in Bastrop, TX (NPI 1558813030).
Provider details
- NPI number
- 1558813030
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Kevin Deutsch, Owner(512) 321-2188
- License
- 25628 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
708 Pecan St
Bastrop, TX 78602-3816
Phone: (512) 321-2188
Street-level locationGet directions
Mailing address
708 Pecan St
Bastrop, TX 78602-3816
Registry dates
- Enumerated
- 2016-10-31
- Last updated
- 2016-10-31
Frequently asked questions
- What is Pecan Street Dental's NPI number?
- Pecan Street Dental's National Provider Identifier (NPI) is 1558813030, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pecan Street Dental?
- Pecan Street Dental is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Pecan Street Dental located?
- Pecan Street Dental's practice location on file with NPPES is 708 Pecan St, Bastrop, TX 78602-3816.
- What is Pecan Street Dental's phone number?
- The practice phone number listed in the NPPES registry for Pecan Street Dental is (512) 321-2188.
- Who is the authorized official for Pecan Street Dental?
- The authorized official listed on Pecan Street Dental's NPPES record is Kevin Deutsch, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pecan Street Dental's NPI active?
- Yes — Pecan Street Dental's NPI (1558813030) is active in the NPPES registry as of the last update on 2016-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.