MY LOCAL TEXAS DENTAL PRACTICE, PLLC
NPI 1215697073
Dentist - General Practice in San Antonio, TX

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

The NPI number for My Local Texas Dental Practice, PLLC is 1215697073. It was assigned to this organization in the NPPES registry on December 21, 2021. The provider is doing business as Enhance Dental.

Q: 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.

Active since December 21, 2021

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

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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 1215697073), doing business as Enhance Dental, is a healthcare organization registered as a general practice in San Antonio, Texas and active in the NPI registry since December 2021. The organization lists Gregory Kostelac, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1215697073

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMY LOCAL TEXAS DENTAL 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 KostelacCredentialing Specialist · (719) 372-5605

Enumeration DateDecember 21, 2021

NPPES CertifiedDecember 21, 2021

✔ NPI 1215697073 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 AsEnhance Dental

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.

TEXAS DENTAL SPECIALIST 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 My Local Texas Dental Practice, PLLC's NPI number?

The NPI number for My Local Texas Dental Practice, PLLC is 1215697073. It was assigned to this organization in the NPPES registry on December 21, 2021. The provider is doing business as Enhance Dental.

Where is My Local Texas Dental Practice, PLLC located?

My Local Texas Dental 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 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.

When was this NPI record last updated?

The NPPES record for My Local Texas Dental Practice, PLLC was last updated on December 21, 2021. 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.