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Texas Dental Specialist Practice, Pllc

General Practice Dentistry in Universal City, TX · enumerated 2021 · authorized official Gregory Kostelac, Credentialing Specialist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1659031599

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Registry record

Entity type Organization (Type 2)
Legal business name Texas Dental Specialist Practice, Pllc
Other name <Unavail>
Parent organization Texas Dental Specialist Practice, Pllc
Practice address 1621 Pat Booker Rd, Universal City, TX, 78148
Phone (210) 654-9094
Enumeration date Dec 20, 2021
Last updated in NPPES Jul 26, 2022

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Gregory Kostelac
Title Credentialing Specialist
Phone (719) 372-5605

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-07-26. Verify at npiregistry.cms.hhs.gov.
Where is Texas Dental Specialist Practice, Pllc located?
The practice location on file with NPPES is in Universal City, TX.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-26.