NPI age
4 years
Enumerated 2021-07-04
● Active
Type 1 · Individual
DR. Jordan Bolletta, DMD
Bolletta is 1 of 64 dentist providers in Georgetown and 1 of 15661 in Texas.
Primary specialty
Dentist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-07-04
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 15661 active dentist providers in Texas.
NPI age
4 years
↓ 10 yr below median (14 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-07Enumerated in NPPES
2021
2026
Where they practice
Practice location
5725 Williams Dr Ste 101
Georgetown, TX 786332216
Mailing address
608 Saturnia Dr
Georgetown, TX 786282263
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.
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.