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

Tx Southern Dental PPO PC

Organization General Practice Dentistry · NPI 1871274159

Tx Southern Dental PPO PC is a General Practice Dentistry in Lake Jackson, 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

201 Oak Dr S Ste 206
Lake Jackson, TX 77566-5627
Phone: (979) 297-2491
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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 number1871274159
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationTx Southern Dental PPO PC
Authorized official Christine Nelson — Vp, Revenue Cycle · (469) 450-6482
Other names Dental Associates Of Lake Jackson
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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