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MY LOCAL TEXAS DENTAL PRACTICE, PLLC
NPI 1043887953
Dentist - General Practice in Boerne, TX

Active since June 09, 2021
804 N MAIN ST, BOERNE, TX 78006(830) 249-8407 Get Directions Write a Review

NPPES record last updated: June 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About My Local Texas Dental Practice, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MY LOCAL TEXAS DENTAL PRACTICE, PLLC (NPI 1043887953), doing business as Premier Dental Center Boerne, is a healthcare organization registered as a general practice in Boerne, Texas and active in the NPI registry since June 2021. The organization lists Michelle Johnson, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1043887953
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMY LOCAL TEXAS DENTAL PRACTICE, PLLC
Location Address804 N MAIN STBoerne, TX 78006-1626
Mailing Address804 N Main StBoerne, TX 78006-1626
Phone(830) 249-8407
Organization SubpartYes
Authorized OfficialMichelle JohnsonCredentialing Specialist · (509) 315-8338
Enumeration DateJune 9, 2021
NPPES CertifiedJune 9, 2021
✔ NPI 1043887953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
804 N MAIN ST, Boerne, TX 78006
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Other Names 1

Doing Business AsPremier Dental Center Boerne

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TEXAS DENTAL ORTHODONTICS PRACTICE, PLLC
Dentist (General Practice)
804 N MAIN ST
BOERNE, TX 78006
Kendall County (830) 249-8407
BETTER SLEEP IN BOERNE PLLC
Dentist
804 N MAIN ST
BOERNE, TX 78006
Kendall County (830) 816-5250
PREMIER BOERNE DENTAL, PLLC
Dentist
804 N MAIN ST
BOERNE, TX 78006
Kendall County (830) 249-8407
DR. BRENT A. HALLUM DDS
Dentist (General Practice)
804 N MAIN ST
BOERNE, TX 78006
Kendall County (830) 249-8407
TEXAS DENTAL SPECIALIST PRACTICE, PLLC
Dentist (General Practice)
804 N MAIN ST
BOERNE, TX 78006
Kendall County (830) 249-8407

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is My Local Texas Dental Practice, PLLC's NPI number?

The NPI number for My Local Texas Dental Practice, PLLC is 1043887953. It was assigned to this organization in the NPPES registry on June 9, 2021. The provider is doing business as Premier Dental Center Boerne.

Where is My Local Texas Dental Practice, PLLC located?

My Local Texas Dental Practice, PLLC is located at 804 N Main St, Boerne, TX 78006. The listed phone number is (830) 249-8407.

What is My Local Texas Dental Practice, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does My Local Texas Dental Practice, PLLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 1 other insurer list My Local Texas Dental Practice, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for My Local Texas Dental Practice, PLLC was last updated on June 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.