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

Tx Southern Dental PPO PC

Organization General Practice Dentistry · NPI 1508547886

Tx Southern Dental PPO PC is a General Practice Dentistry in San Antonio, Texas. Registered with an NPI since 2023.

In the registry since
2023
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

5419 Fredericksburg Rd
San Antonio, TX 78229-3503
Phone: (210) 616-0980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1508547886
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationTx Southern Dental PPO PC
Authorized official Christine Nelson — Vp, Revenue Cycle · (469) 450-6482
Other names Oak Hills Periodontics
NPI enumeratedJuly 28, 2023
Last updated in NPPESJuly 28, 2023
Certification dateJuly 28, 2023
Mailing address5830 Granite Pkwy Ste 780, Plano, TX 75024-6775

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