NPI age
4 years
Enumerated 2021-12-20
● Active Type 2 · Organization
Subpart
Texas Dental Specialist Practice, Pllc
Texas Dental Specialist Practice, Pllc is 1 of 15661 dentist organizations in Texas.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kostelac
Credentialing Specialist
Last NPPES update
2022-07-26
Source: monthly bulk 2026-05
How this organization compares
Across 15661 active dentist providers in Texas.
NPI age
4 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-12Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
104 W Cedar St
Seguin, TX 781553748
Mailing address
6110 Barnes Rd
Colorado Springs, CO 809222600
Authorized official
Gregory Kostelac
Credentialing Specialist
📞 7193725605
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Katie Dickens, DDS Dentist NPI 1366056558
- John Hudson, DDS Dentist NPI 1811000615
- Luigi Massa, D.D.S. Dentist NPI 1790901965
- Sanjay Ramoliya, DDS Dentist NPI 1477868362
- Ray Simecek, DDS Dentist NPI 1134124092
Specialties
-
Dentist PrimaryA 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.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Texas Dental Specialists
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
Subpart of Texas Dental Specialist Practice, Pllc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.