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TEXAS DENTAL SPECIALISTS
NPI 1851051791
Dentist - General Practice in San Antonio, TX

Active since December 20, 2021
12521 NACOGDOCHES RD STE 103, SAN ANTONIO, TX 78217(210) 653-3452 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 26, 2022, Dec 20, 2021 (2 updates tracked since 2021).

About Texas Dental Specialists NPPES

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

TEXAS DENTAL SPECIALISTS (NPI 1851051791) 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

NPI1851051791
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTEXAS DENTAL SPECIALIST PRACTICE, PLLC
Location Address12521 NACOGDOCHES RD STE 103San Antonio, TX 78217-2117
Mailing Address6110 Barnes RdColorado Springs, CO 80922-2600
Phone(210) 653-3452
Organization SubpartYes
Authorized OfficialGregory KostelacCredentialing Specialist · (719) 372-5605
Enumeration DateDecember 20, 2021
Last NPPES UpdateJuly 26, 20222 updates tracked since enumeration
NPPES CertifiedJuly 26, 2022
✔ NPI 1851051791 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.
12521 NACOGDOCHES RD STE 103, San Antonio, TX 78217
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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)
12521 NACOGDOCHES RD STE 103
SAN ANTONIO, TX 78217
Bexar County (210) 653-3452

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 Specialist Practice, PLLC's NPI number?

The NPI number for Texas Dental Specialist Practice, PLLC is 1851051791. It was assigned to this organization in the NPPES registry on December 20, 2021. The provider is doing business as Texas Dental Specialists.

Where is Texas Dental Specialist Practice, PLLC located?

Texas Dental Specialist Practice, PLLC is located at 12521 Nacogdoches Rd Ste 103, San Antonio, TX 78217. The listed phone number is (210) 653-3452.

What is Texas Dental Specialist 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 Specialist Practice, PLLC was last updated on July 26, 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.