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 1861069775

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

12521 Nacogdoches Rd Ste 103
San Antonio, TX 78217-2117
Phone: (210) 653-3452
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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 number1861069775
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMy Local Texas Dental Practice, PLLC
Authorized official Michelle Johnson — Credentialing Specialist · (509) 315-8338
Other names Premier Dental Center San Antonio Ii
NPI enumeratedJune 9, 2021
Last updated in NPPESJune 9, 2021
Certification dateJune 9, 2021
Mailing address12521 Nacogdoches Rd Ste 103, San Antonio, TX 78217-2117

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