Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

My Local Texas Dental Practice, PLLC

Organization General Practice Dentistry · NPI 1215697073

My Local Texas Dental Practice, PLLC provides General Practice Dentistry in San Antonio, Texas. Registered with an NPI since 2021.

In the registry since
2021
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

17230 Autry Pond Rd Ste 115
San Antonio, TX 78247-2097
Phone: (210) 396-7667
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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 number1215697073
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMy Local Texas Dental Practice, PLLC
Authorized official Gregory Kostelac — Credentialing Specialist · (719) 372-5605
Other names Enhance Dental
NPI enumeratedDecember 21, 2021
Last updated in NPPESDecember 21, 2021
Certification dateDecember 21, 2021
Mailing address6110 Barnes Rd, Colorado Springs, CO 80922-2600

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