Organization · Type 2 NPI

Texas Dental Orthodontics Practice, PLLC

General Practice Dentistry · Boerne, TX

NPI number 1396478277 Active

Practice location

804 N Main St
Boerne, TX 78006-1626

Call (830) 249-8407 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.

5 other providers at this address

Other general practice dentistry providers in Boerne

See all in Boerne →

NPI record

NPI: 1396478277
Entity type: Organization (Type 2)
Issued: Jul 7, 2022
Last updated: Jul 7, 2022
Status: Active
Subpart: Yes of Texas Dental Orthodontics Practice, PLLC

Other names

San Antonio Orthodontic Group · former legal business name

Authorized official

Gregory Kostelac
Data Analyst
(719) 372-5605

Verify this record

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.

Is this your record? How to update it.

About NPI 1396478277

Texas Dental Orthodontics Practice, PLLC's National Provider Identifier is 1396478277, issued on Jul 7, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Boerne, TX. The record was last updated on Jul 7, 2022.