Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tx Southern Dental PC

Organization Dentist · NPI 1164292694

Tx Southern Dental PC is a Dentist in San Antonio, Texas. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11719 Whisper Valley St
San Antonio, TX 78230-3739
Phone: (210) 492-2192
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1164292694
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationTx Southern Dental PC
Authorized official Erika Menjivar — Sr. Credentialing Specialist · (469) 596-6137
Other names Elm Creek Dentistry
NPI enumeratedJanuary 5, 2024
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026
Mailing address5830 Granite Pkwy Ste 780, Plano, TX 75024-6775

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