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DR. JORDAN BOLLETTA DMD
NPI 1992376628
Dentist - General Practice in Georgetown, TX

Active since July 04, 2021
5725 WILLIAMS DR STE 101, GEORGETOWN, TX 78633(512) 863-7777 Get Directions Write a Review

NPPES record last updated: July 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jordan Bolletta Dmd NPPES

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

DR. JORDAN BOLLETTA DMD (NPI 1992376628) is an individual general practice provider in Georgetown, Texas, licensed in Texas (37434) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1992376628
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JORDAN BOLLETTACredential: DMD
Location Address5725 WILLIAMS DR STE 101Georgetown, TX 78633-2216
Mailing Address608 Saturnia DrGeorgetown, TX 78628-2263 · (217) 620-1729
Phone(512) 863-7777
Sole ProprietorNo
Enumeration DateJuly 4, 2021
NPPES CertifiedJuly 4, 2021
✔ NPI 1992376628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 37434
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.
5725 WILLIAMS DR STE 101, Georgetown, TX 78633
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 3

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

DR. TIFFANY NANTHAVONGDOUANGSY DMD
Dentist (General Practice)
5725 WILLIAMS DR STE 101
GEORGETOWN, TX 78633
Williamson County (512) 863-7777
RENKEN DENTISTRY OF TEXAS PLLC
Clinic/Center (Dental)
5725 WILLIAMS DR STE 101
GEORGETOWN, TX 78633
Williamson County (512) 667-9056
DR. HOLLISTON ANN LANGENDORFER DMD
Dentist (General Practice)
5725 WILLIAMS DR STE 101
GEORGETOWN, TX 78633
Williamson County (512) 863-7777

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 Jordan Bolletta's NPI number?

The NPI number for Jordan Bolletta is 1992376628. It was assigned to this individual provider in the NPPES registry on July 4, 2021.

Where is Jordan Bolletta located?

Jordan Bolletta practices at 5725 Williams Dr Ste 101, Georgetown, TX 78633. The listed phone number is (512) 863-7777.

What is Jordan Bolletta's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jordan Bolletta accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jordan Bolletta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jordan Bolletta was last updated on July 4, 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.