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MY LOCAL TEXAS DENTAL PRACTICE, PLLC
NPI 1770150682
Dentist - General Practice in Universal City, TX

Active since June 09, 2021
1621 PAT BOOKER RD, UNIVERSAL CITY, TX 78148(210) 654-9094 Get Directions Write a Review

NPPES record last updated: June 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 1770150682), doing business as Premier Dental Center Universal City, is a healthcare organization registered as a general practice in Universal City, Texas and active in the NPI registry since June 2021. The organization lists Michelle Johnson, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1770150682
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMY LOCAL TEXAS DENTAL PRACTICE, PLLC
Location Address1621 PAT BOOKER RDUniversal City, TX 78148-3432
Mailing Address1621 Pat Booker RdUniversal City, TX 78148-3432 · (210) 654-9094
Phone(210) 654-9094
Organization SubpartYes
Authorized OfficialMichelle JohnsonCredentialing Specialist · (509) 315-8338
Enumeration DateJune 9, 2021
NPPES CertifiedJune 9, 2021
✔ NPI 1770150682 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.
1621 PAT BOOKER RD, Universal City, TX 78148
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Other Names 1

Doing Business AsPremier Dental Center Universal City

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 5

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

DR. OTTO L HEROD D.D.S
Dentist (General Practice)
1621 PAT BOOKER RD
UNIVERSAL CITY, TX 78148
Bexar County (210) 654-9094
TEXAS DENTAL ORTHODONTICS PRACTICE, PLLC
Dentist (General Practice)
1621 PAT BOOKER RD
UNIVERSAL CITY, TX 78148
Bexar County (210) 654-9094
DR. BRAD DARIUSH SEDDIGHZADEH D.D.S.
Dentist (General Practice)
1621 PAT BOOKER RD
UNIVERSAL CITY, TX 78148
Bexar County (210) 654-9094
TEXAS DENTAL SPECIALIST PRACTICE, PLLC
Dentist (General Practice)
1621 PAT BOOKER RD
UNIVERSAL CITY, TX 78148
Bexar County (210) 654-9094
ULYSSES J VARGAS DDS
Dentist (General Practice)
1621 PAT BOOKER RD
UNIVERSAL CITY, TX 78148
Bexar County (210) 654-9094

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 1770150682. It was assigned to this organization in the NPPES registry on June 9, 2021. The provider is doing business as Premier Dental Center Universal City.

Where is My Local Texas Dental Practice, PLLC located?

My Local Texas Dental Practice, PLLC is located at 1621 Pat Booker Rd, Universal City, TX 78148. The listed phone number is (210) 654-9094.

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 June 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.