Organization · Type 2 NPI

My Local Texas Dental Practice, PLLC

General Practice Dentistry · San Antonio, TX

NPI number 1225798085 Active

Practice location

1915 Rogers Rd
San Antonio, TX 78251-4614

Call (210) 361-9977 Map

Mailing address

6110 Barnes Rd
Colorado Springs, CO 80922-2600

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2 other providers at this address

Other general practice dentistry providers in San Antonio

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NPI record

NPI: 1225798085
Entity type: Organization (Type 2)
Issued: Dec 21, 2021
Last updated: Dec 21, 2021
Status: Active
Subpart: Yes of My Local Texas Dental Practice, PLLC

Other names

Empire Dental · doing business as

Authorized official

Gregory Kostelac
Credentialing Specialist
(719) 372-5605

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1225798085

My Local Texas Dental Practice, PLLC's National Provider Identifier is 1225798085, issued on Dec 21, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Antonio, TX. The record was last updated on Dec 21, 2021.