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

Texas Dental Orthodontics Practice, PLLC

Organization General Practice Dentistry · NPI 1487387361

Texas Dental Orthodontics Practice, PLLC provides General Practice Dentistry in Universal City, Texas. Registered with an NPI since 2022.

In the registry since
2022
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

1621 Pat Booker Rd
Universal City, TX 78148-3432
Phone: (210) 654-9094
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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 number1487387361
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationTexas Dental Orthodontics Practice, PLLC
Authorized official Gregory Kostelac — Data Analyst · (719) 372-5605
Other names San Antonio Orthodontic Group
NPI enumeratedJuly 7, 2022
Last updated in NPPESJuly 7, 2022
Certification dateJuly 7, 2022
Mailing address6110 Barnes Rd, Colorado Springs, CO 80922-2600

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