1. Home
  2. Directory
  3. Texas
  4. Boerne
  5. Dentist
  6. NPI Profile

TEXAS DENTAL ORTHODONTICS PRACTICE, PLLC
NPI 1396478277
Dentist - General Practice in Boerne, TX

Active since July 07, 2022
804 N MAIN ST, BOERNE, TX 78006(830) 249-8407 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Texas Dental Orthodontics Practice, Pllc NPPES

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

TEXAS DENTAL ORTHODONTICS PRACTICE, PLLC (NPI 1396478277), doing business as San Antonio Orthodontic Group, is a healthcare organization registered as a general practice in Boerne, Texas and active in the NPI registry since July 2022. The organization lists Gregory Kostelac, Data Analyst, as its authorized official.

NPPES Registry Identity

NPI1396478277
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTEXAS DENTAL ORTHODONTICS PRACTICE, PLLC
Location Address804 N MAIN STBoerne, TX 78006-1626
Mailing Address6110 Barnes RdColorado Springs, CO 80922-2600
Phone(830) 249-8407
Organization SubpartYes
Authorized OfficialGregory KostelacData Analyst · (719) 372-5605
Enumeration DateJuly 7, 2022
NPPES CertifiedJuly 7, 2022
✔ NPI 1396478277 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
Open in Google Maps ↗

Other Names 1

Former Legal Business NameSan Antonio Orthodontic Group

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 5

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)
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 Texas Dental Orthodontics Practice, PLLC's NPI number?

The NPI number for Texas Dental Orthodontics Practice, PLLC is 1396478277. It was assigned to this organization in the NPPES registry on July 7, 2022. The provider was formerly known as San Antonio Orthodontic Group.

Where is Texas Dental Orthodontics Practice, PLLC located?

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

What is Texas Dental Orthodontics 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 Orthodontics Practice, PLLC was last updated on July 7, 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.