# ATASCOSA DENTAL PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** My Hometown Dentist at Pleasanton
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578163390
- **Authorized official:** JANELLE BAYS (OFFICE MANAGER)
- **Authorized official phone:** (808) 646-1833

## Contact information

- **Practice address:** 714 W GOODWIN ST, PLEASANTON, TX 78064-4018
- **Practice address phone:** (830) 569-4746
- **Practice address fax:** (830) 281-4700
- **Mailing address:** 24200 IH 10 W STE 112, SAN ANTONIO, TX 78257-1150
- **Mailing address phone:** (210) 687-1133
- **Mailing address fax:** (210) 687-1132

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 10/30/2020
- **Last updated:** 04/29/2022