TEXAS DENTAL SPECIALIST PRACTICE, PLLC
NPI 1093457012
Dentist - General Practice in San Antonio, TX

Q: What is Texas Dental Specialist Practice, PLLC's specialty?

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

Active since April 11, 2022

17230 AUTRY POND RD STE 115, SAN ANTONIO, TX 78247(210) 396-7667 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Texas Dental Specialist Practice, Pllc NPPES

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

TEXAS DENTAL SPECIALIST PRACTICE, PLLC (NPI 1093457012), doing business as Texas Dental Specialists, is a healthcare organization registered as a general practice in San Antonio, Texas and active in the NPI registry since April 2022. The organization lists Gregory Kostelac, Data Analyst, as its authorized official.

NPPES Registry Identity

NPI1093457012

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameTEXAS DENTAL SPECIALIST PRACTICE, PLLC

Location Address17230 AUTRY POND RD STE 115San Antonio, TX 78247-2097

Mailing Address6110 Barnes RdColorado Springs, CO 80922-2600

Phone(210) 396-7667

Organization SubpartYes

Authorized OfficialGregory KostelacData Analyst · (719) 372-5605

Enumeration DateApril 11, 2022

NPPES CertifiedApril 11, 2022

✔ NPI 1093457012 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.

17230 AUTRY POND RD STE 115, San Antonio, TX 78247

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Other Names 1

Doing Business AsTexas Dental Specialists

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MY LOCAL TEXAS DENTAL PRACTICE, PLLC

Dentist (General Practice)

17230 AUTRY POND RD STE 115
SAN ANTONIO, TX 78247

Bexar County (210) 396-7667

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 Texas Dental Specialist Practice, PLLC's NPI number?

The NPI number for Texas Dental Specialist Practice, PLLC is 1093457012. It was assigned to this organization in the NPPES registry on April 11, 2022. The provider is doing business as Texas Dental Specialists.

Where is Texas Dental Specialist Practice, PLLC located?

Texas Dental Specialist Practice, PLLC is located at 17230 Autry Pond Rd Ste 115, San Antonio, TX 78247. The listed phone number is (210) 396-7667.

What is Texas Dental Specialist Practice, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Texas Dental Specialist Practice, PLLC was last updated on April 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.