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

Texas Dental Specialist Practice, PLLC

Organization General Practice Dentistry · NPI 1851051791

Texas Dental Specialist 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 number1851051791
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationTexas Dental Specialist Practice, PLLC
Authorized official Gregory Kostelac — Credentialing Specialist · (719) 372-5605
Other names Texas Dental Specialists
NPI enumeratedDecember 20, 2021
Last updated in NPPESJuly 26, 2022
Certification dateJuly 26, 2022
Mailing address6110 Barnes Rd, Colorado Springs, CO 80922-2600

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