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
21950 Bulverde Rd Ste 103
San Antonio, TX 782592174
Mailing address
6110 Barnes Rd
Colorado Springs, CO 809222600
Authorized official
Gregory Kostelac
Credentialing Specialist
📞 7193725605
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
Single-site organization. Only one practice location on file.
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 →
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