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

Texas Dental Specialist Practice, PLLC

Organization General Practice Dentistry · NPI 1093457012

Texas Dental Specialist Practice, PLLC provides General Practice Dentistry in San Antonio, 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

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 number1093457012
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationTexas Dental Specialist Practice, PLLC
Authorized official Gregory Kostelac — Data Analyst · (719) 372-5605
Other names Texas Dental Specialists
NPI enumeratedApril 11, 2022
Last updated in NPPESApril 11, 2022
Certification dateApril 11, 2022
Mailing address6110 Barnes Rd, Colorado Springs, CO 80922-2600

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