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.
Organization
MY LOCAL TEXAS DENTAL PRACTICE, PLLC
Active
Organization
MY LOCAL TEXAS DENTAL PRACTICE, PLLC
Active
Parent organization
MY LOCAL TEXAS DENTAL PRACTICE, PLLC
Other names
Silver Screen
Organization subpart
Yes
Provider details
NPI number
Legal business name
MY LOCAL TEXAS DENTAL PRACTICE, PLLC
Authorized official
GREGORY KOSTELAC (DATA ANALYST)
(719) 372-5605
Entity
Organization
Contact information
Practice address
11851 JOLLYVILLE RD STE 201, AUSTIN, TX 78759-2350
(512) 345-8800
Mailing address
6110 BARNES RD, COLORADO SPRINGS, CO 80922-2600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up