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MY LOCAL TEXAS DENTAL PRACTICE, PLLC
NPI 1861069775
Dentist - General Practice in San Antonio, TX

Active since June 09, 2021
12521 NACOGDOCHES RD STE 103, SAN ANTONIO, TX 78217(210) 653-3452 Get Directions Write a Review

NPPES record last updated: June 9, 2021. Verified against the NPPES registry weekly; last sync: August 23, 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 1861069775), doing business as Premier Dental Center San Antonio Ii, is a healthcare organization registered as a general practice in San Antonio, Texas and active in the NPI registry since June 2021. The organization lists Michelle Johnson, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1861069775
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMY LOCAL TEXAS DENTAL PRACTICE, PLLC
Location Address12521 NACOGDOCHES RD STE 103San Antonio, TX 78217-2117
Mailing Address12521 Nacogdoches Rd Ste 103San Antonio, TX 78217-2117
Phone(210) 653-3452
Organization SubpartYes
Authorized OfficialMichelle JohnsonCredentialing Specialist · (509) 315-8338
Enumeration DateJune 9, 2021
NPPES CertifiedJune 9, 2021
✔ NPI 1861069775 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 AsPremier Dental Center San Antonio Ii

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

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)
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 My Local Texas Dental Practice, PLLC's NPI number?

The NPI number for My Local Texas Dental Practice, PLLC is 1861069775. It was assigned to this organization in the NPPES registry on June 9, 2021. The provider is doing business as Premier Dental Center San Antonio II.

Where is My Local Texas Dental Practice, PLLC located?

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

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.