CRANIOMANDIBULAR ASSOCIATES OF SAN ANTONIO PLLC
NPI 1093695660
Dentist - General Practice in Boerne, TX

Q: What is Craniomandibular Associates Of San Antonio PLLC's specialty?

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

Active since September 04, 2025

5 COUGHRAN RD STE 302, BOERNE, TX 78006(830) 446-5510 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Craniomandibular Associates Of San Antonio Pllc NPPES

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

CRANIOMANDIBULAR ASSOCIATES OF SAN ANTONIO PLLC (NPI 1093695660) is a healthcare organization registered as a general practice in Boerne, Texas and active in the NPI registry since September 2025. The organization lists Tara Lee Cully, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093695660

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameCRANIOMANDIBULAR ASSOCIATES OF SAN ANTONIO PLLC

Location Address5 COUGHRAN RD STE 302Boerne, TX 78006-8103

Mailing Address114 Upper Balcones RdBoerne, TX 78006-8545 · (830) 446-5510

Phone(830) 446-5510

Organization SubpartNo

Authorized OfficialTara Lee CullyCeo · (830) 446-5510

Enumeration DateSeptember 4, 2025

Last NPPES UpdateOctober 3, 2025

NPPES CertifiedOctober 3, 2025

✔ NPI 1093695660 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.

5 COUGHRAN RD STE 302, Boerne, TX 78006

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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

Other Providers at the Same Location NPPES 3

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

DR. REG HOLTON CULLY D.C.

Chiropractor (Rehabilitation)

5 COUGHRAN RD STE 302
BOERNE, TX 78006

Kendall County (830) 446-5510

REG CULLY DC PLLC

Chiropractor (Rehabilitation)

5 COUGHRAN RD STE 302
BOERNE, TX 78006

Kendall County (830) 446-5510

DR. TARA LEE CULLY D.D.S.

Dentist (General Practice)

5 COUGHRAN RD STE 302
BOERNE, TX 78006

Kendall County (830) 446-5510

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 Craniomandibular Associates Of San Antonio PLLC's NPI number?

The NPI number for Craniomandibular Associates Of San Antonio PLLC is 1093695660. It was assigned to this organization in the NPPES registry on September 4, 2025.

Where is Craniomandibular Associates Of San Antonio PLLC located?

Craniomandibular Associates Of San Antonio PLLC is located at 5 Coughran Rd Ste 302, Boerne, TX 78006. The listed phone number is (830) 446-5510.

What is Craniomandibular Associates Of San Antonio 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 Craniomandibular Associates Of San Antonio PLLC was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.