My Local Texas Dental Practice, PLLC
NPI 1588303275ActiveOrganization· Dentist, General Practice· Cedar Park, TX
Dentist, General Practice in Cedar Park, Texas, registered in NPPES in June 2022, part of My Local Texas Dental Practice, PLLC. The authorized official on file is Gregory Kostelac, Data Analyst.
Overview
| NPI | 1588303275 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | My Local Texas Dental Practice, PLLC |
| NPI issued | Jun 1, 2022 |
| Last updated in NPPES | Jun 1, 2022 |
| Certified by provider | Jun 1, 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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