My Local Texas Dental Practice, PLLC
NPI 1215697073 · General Practice Dentistry · San Antonio, TX
My Local Texas Dental Practice, PLLC is a General Practice Dentistry organization in San Antonio, TX (NPI 1215697073).
Provider details
- NPI number
- 1215697073
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- My Local Texas Dental Practice, PLLC
- Organization subpart
- Yes
- Authorized official
- Gregory Kostelac, Credentialing Specialist(719) 372-5605
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Enhance Dental
Registry dates
- Enumerated
- 2021-12-21
- Last updated
- 2021-12-21
- Certified
- 2021-12-21
Frequently asked questions
- What is My Local Texas Dental Practice, PLLC's NPI number?
- My Local Texas Dental Practice, PLLC's National Provider Identifier (NPI) is 1215697073, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is My Local Texas Dental Practice, PLLC?
- My Local Texas Dental Practice, PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is My Local Texas Dental Practice, PLLC located?
- My Local Texas Dental Practice, PLLC's practice location on file with NPPES is 17230 Autry Pond Rd Ste 115, San Antonio, TX 78247-2097.
- What is My Local Texas Dental Practice, PLLC's phone number?
- The practice phone number listed in the NPPES registry for My Local Texas Dental Practice, PLLC is (210) 396-7667.
- Who is the authorized official for My Local Texas Dental Practice, PLLC?
- The authorized official listed on My Local Texas Dental Practice, PLLC's NPPES record is Gregory Kostelac, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is My Local Texas Dental Practice, PLLC's NPI active?
- Yes — My Local Texas Dental Practice, PLLC's NPI (1215697073) is active in the NPPES registry as of the last update on 2021-12-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.