TX SOUTHERN DENTAL PPO PC NPI 1689355976

NPI Information

  • NPI: 1689355976
  • Provider Name: TX SOUTHERN DENTAL PPO PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 5204 S COLONY BLVD STE 150
    THE COLONY, TX
    ZIP 75056
  • Phone: (469) 656-7265

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NPI Details

TX SOUTHERN DENTAL PPO PC is a general practice dentist in The Colony, 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 1689355976. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5204 S COLONY BLVD STE 150
THE COLONY, TX
ZIP 75056-390
Phone: (469) 656-7265

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 7/28/2023 and was last updated on 7/28/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral 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: 11/21/2025

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