Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Main Street

Organization Dental Clinic/Center · NPI 1710561824

Main Street is a Dental Clinic/Center in Bastrop, Texas. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

812 Chestnut St
Bastrop, TX 78602-3205
Phone: (512) 253-4977
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1710561824
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacey Bartley — Business Manager · (512) 985-7535
NPI enumeratedMay 6, 2021
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026
Mailing address812 Chestnut St, Bastrop, TX 78602-3205

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