TEXAS DENTAL SPECIALISTS
NPI 1871253799
Dentist - General Practice in Boerne, TX

Active since December 20, 2021
804 N MAIN ST, BOERNE, TX 78006(830) 249-8407(719) 213-2311 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 1871253799) is a healthcare organization registered as a general practice in Boerne, Texas and active in the NPI registry since December 2021. The organization lists Gregory Kostelac, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1871253799
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTEXAS DENTAL SPECIALIST PRACTICE, PLLC
Location Address804 N MAIN STBoerne, TX 78006-1626
Mailing Address6110 Barnes RdColorado Springs, CO 80922-2600
Fax(719) 213-2311
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 1871253799 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

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 5

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

Dentist (General Practice)
804 N MAIN ST
BOERNE, TX 78006
Dentist (General Practice)
804 N MAIN ST
BOERNE, TX 78006
Dentist
804 N MAIN ST
BOERNE, TX 78006
Dentist
804 N MAIN ST
BOERNE, TX 78006
Dentist (General Practice)
804 N MAIN ST
BOERNE, TX 78006

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 1871253799. 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 804 N Main St, Boerne, TX 78006. The listed phone number is (830) 249-8407.

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.