Organization · Type 2 NPI

Texas Dental Specialist Practice, PLLC

General Practice Dentistry · San Antonio, TX

NPI number 1851051791 Active

Practice location

12521 Nacogdoches Rd Ste 103
San Antonio, TX 78217-2117

Call (210) 653-3452 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.

Another provider at this address

My Local Texas Dental Practice, PLLCGeneral Practice Dentistry San Antonio, TX NPI 1861069775

Other general practice dentistry providers in San Antonio

See all in San Antonio →

NPI record

NPI: 1851051791
Entity type: Organization (Type 2)
Issued: Dec 20, 2021
Last updated: Jul 26, 2022
Status: Active
Subpart: Yes of Texas Dental Specialist Practice, PLLC

Other names

<unavail>
Texas Dental Specialists · doing business as

Authorized official

Gregory Kostelac
Credentialing Specialist
(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 1851051791

Texas Dental Specialist Practice, PLLC's National Provider Identifier is 1851051791, issued on Dec 20, 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 Jul 26, 2022.