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 Dentist · NPI 1912777483

Tx Southern Dental PPO PC is a Dentist in Arlington, 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

5501 Matlock Rd
Arlington, TX 76018-1534
Phone: (817) 468-3322
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1912777483
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationTx Southern Dental PPO PC
Authorized official Christine Nelson — Vp, Revenue Cycle · (469) 450-6482
Other names Mark Moore Dds
NPI enumeratedJanuary 5, 2024
Last updated in NPPESJanuary 5, 2024
Certification dateJanuary 5, 2024
Mailing address5830 Granite Pkwy Ste 780, Plano, TX 75024-6775

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