MEDICARE: JERRY W BAUTSCH DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	12264	TX

General Provider Information

NPI Number	:	1902993827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JERRY W BAUTSCH DDS

Provider Business Mailing Address
First Line	:	2815 W LAKE HOUSTON PKWY
Second Line	:	SUITE 107
City	:	KINGWOOD
State	:	TX
Zip	:	77339-5227
Country	:	US
Telephone Number	:	281-361-2011
Fax Number	:	281-360-6517

Provider Business Practice Location Address
First Line	:	2815 W LAKE HOUSTON PKWY
Second Line	:	SUITE 107
City	:	KINGWOOD
State	:	TX
Zip	:	77339-5227
Country	:	US
Telephone Number	:	281-361-2011
Fax Number	:	281-360-6517

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1912060138 — MARIBEL COLON-TORRADO DMD, PA
Practice Location Address:

2815 W LAKE HOUSTON PKWY , SUITE 105
KINGWOOD, TX
77339-5227

Practice Phone: 281-446-1169
Practice Fax:

1457578619 — DR. LOY MORGAN ARNOLD D.D.S. , M.S.
Practice Location Address:

2815 W LAKE HOUSTON PKWY , STE. 106
KINGWOOD, TX
77339-5227

Practice Phone: 281-446-6677
Practice Fax: 281-360-3273

1669672002 — DR. LAUREN BAUTSCH MALITZ D.D.S.
Practice Location Address:

2815 W LAKE HOUSTON PKWY , SUITE 107
KINGWOOD, TX
77339-5227

Practice Phone: 281-361-2011
Practice Fax: 281-360-6517

1821073628 — DR. BLAINE RANDY THORN II DDS
Practice Location Address:

2815 W LAKE HOUSTON PKWY , SUITE110
HUMBLE, TX
77339-5227

Practice Phone: 281-360-5645
Practice Fax: 281-360-8439

1619855301 — ANN ROSE LOBO PMHNP-BC
Practice Location Address:

23838 HWY 59 N
KINGWOOD, TX
77339-1531

Practice Phone: 833-777-9247
Practice Fax:

1952542680 — GEORG ELIAS M.D
Practice Location Address:

24044 HIGHWAY 59 N
KINGWOOD, TX
77339-1500

Practice Phone: 281-501-5652
Practice Fax: 800-718-5287

Directions to “ JERRY W BAUTSCH DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.