OrganizationActive
Texas Dental Specialist Practice, PLLC
NPI 1851051791 · General Practice Dentistry · San Antonio, TX
Provider details
- NPI number
- 1851051791
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Texas Dental Specialist Practice, PLLC
- Organization subpart
- Yes
- Authorized official
- Gregory Kostelac, Credentialing Specialist(719) 372-5605
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(61/100 index)
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
12521 Nacogdoches Rd Ste 103
San Antonio, TX 78217-2117
Phone: (210) 653-3452
Street-level locationGet directions
Mailing address
6110 Barnes Rd
Colorado Springs, CO 80922-2600
Other names (DBA / former)
- Doing business as
- Texas Dental Specialists
Registry dates
- Enumerated
- 2021-12-20
- Last updated
- 2022-07-26
- Certified
- 2022-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.