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TX SOUTHERN DENTAL PPO PC NPI 1982203873


NPI Information

NPI: 1982203873
Provider Name: TX SOUTHERN DENTAL PPO PC

Doing Business As: IMAGECARE DENTAL GROUP

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
6841 COIT RD
PLANO, TX
ZIP 75024
Phone: (972) 618-5000
Get Directions

TX SOUTHERN DENTAL PPO PC is a general practice dentist in Plano, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. TX SOUTHERN DENTAL PPO PC NPI is 1982203873. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Imagecare Dental Group.

The provider's business location address is:

6841 COIT RD
PLANO, TX
ZIP 75024-489
Phone: (972) 618-5000
Fax: (972) 618-9369

The provider's authorized official is Christine Nelson .
The authorized official title is Vp, Revenue Cycle and has the following contact phone number (469) 450-6482.

The enumeration date for this NPI number is 10/21/2020 and was last updated on 1/5/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentistNo
21223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.