Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

My Local Texas Dental Practice, PLLC

Organization General Practice Dentistry · NPI 1215697073

My Local Texas Dental Practice, PLLC is a General Practice Dentistry in San Antonio, Texas. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17230 Autry Pond Rd Ste 115
San Antonio, TX 78247-2097
Phone: (210) 396-7667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1215697073
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMy Local Texas Dental Practice, PLLC
Authorized official Gregory Kostelac — Credentialing Specialist · (719) 372-5605
Other names Enhance Dental
NPI enumeratedDecember 21, 2021
Last updated in NPPESDecember 21, 2021
Certification dateDecember 21, 2021
Mailing address6110 Barnes Rd, Colorado Springs, CO 80922-2600

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