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

Dr. Jordan Bolletta, DMD

Individual provider General Practice Dentistry · NPI 1992376628

Dr. Jordan Bolletta, DMD is a General Practice Dentistry in Georgetown, Texas. Licensed in Texas. Registered with an NPI since 2021.

Licensed in
TX
In the registry since
2021
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

5725 Williams Dr Ste 101
Georgetown, TX 78633-2216
Phone: (512) 863-7777
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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 · Licence 37434 (TX)

Record details

NPI number1992376628
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 4, 2021
Last updated in NPPESJuly 4, 2021
Certification dateJuly 4, 2021

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