Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Craniomandibular Associates of San Antonio PLLC

Organization General Practice Dentistry · NPI 1093695660

Craniomandibular Associates of San Antonio PLLC provides General Practice Dentistry in Boerne, Texas. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5 Coughran Rd Ste 302
Boerne, TX 78006-8103
Phone: (830) 446-5510
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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

Record details

NPI number1093695660
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Cully — Ceo · (830) 446-5510
NPI enumeratedSeptember 4, 2025
Last updated in NPPESOctober 3, 2025
Certification dateOctober 3, 2025
Mailing address114 Upper Balcones Rd, Boerne, TX 78006-8545

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