OrganizationActive
My Local Texas Dental Practice, PLLC
NPI 1770150682 · General Practice Dentistry · Universal City, TX
Provider details
- NPI number
- 1770150682
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- My Local Texas Dental Practice, PLLC
- Organization subpart
- Yes
- Authorized official
- Michelle Johnson, Credentialing Specialist(509) 315-8338
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
1621 Pat Booker Rd
Universal City, TX 78148-3432
Phone: (210) 654-9094
Street-level locationGet directions
Mailing address
1621 Pat Booker Rd
Universal City, TX 78148-3432
Other names (DBA / former)
- Doing business as
- Premier Dental Center Universal City
Registry dates
- Enumerated
- 2021-06-09
- Last updated
- 2021-06-09
- Certified
- 2021-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.