NPI age
4 years
Enumerated 2021-06-09
● Active Type 2 · Organization
Subpart
My Local Texas Dental Practice, Pllc
My Local Texas Dental 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
Johnson
Credentialing Specialist
Last NPPES update
2021-06-09
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
2021-06Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
1621 Pat Booker Rd
Universal City, TX 781483432
Mailing address
1621 Pat Booker Rd
Universal City, TX 781483432
Authorized official
Michelle Johnson
Credentialing Specialist
📞 5093158338
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Otto Herod, D.D.S Dentist NPI 1326177551
- Brad Seddighzadeh, D.D.S. Dentist NPI 1548612708
- Ulysses Vargas, DDS Dentist NPI 1831565605
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.
-
Premier Dental Center Universal City
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
Subpart of My Local Texas Dental 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.