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

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: July 19, 2026.

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

What is TEXAS DENTAL SPECIALIST PRACTICE, PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1093457012, enumerated as an "organization" on April 11, 2022.

Where is the provider located?

The provider is located at 17230 AUTRY POND RD STE 115 SAN ANTONIO, TX 78247 and the phone number is (210) 396-7667.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.