Texas Dental Specialist Practice, PLLC
NPI 1477213312ActiveOrganization· Dentist, General Practice· Seguin, TX
Dentist, General Practice in Seguin, Texas, registered in NPPES in December 2021, part of Texas Dental Specialist Practice, PLLC. The authorized official on file is Gregory Kostelac, Credentialing Specialist.
Overview
| NPI | 1477213312 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Texas Dental Specialist Practice, PLLC |
| NPI issued | Dec 20, 2021 |
| Last updated in NPPES | Jul 26, 2022 |
| Certified by provider | Jul 26, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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