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

Tx Southern Dental PPO PC

Organization Dentist · NPI 1114898780

Tx Southern Dental PPO PC is a Dentist in Irving, Texas. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

975 W John Carpenter Fwy Ste 115
Irving, TX 75039-2512
Phone: (972) 556-1172
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 number1114898780
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationTx Southern Dental PPO PC
Authorized official Erika Menjivar — Sr. Credentialing Manager · (469) 596-6137
Other names Cosmetic Family Dentistry Of Las Colinas
NPI enumeratedSeptember 16, 2025
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025
Mailing address5830 Granite Pkwy Ste 780, Plano, TX 75024-6775

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