Tx Southern Dental Ppo PC
NPI #1063282523 in Dripping Springs, Texas
Provider Information
- NPI Number
- 1063282523
- Entity Type
- Organization
- Organization Name
- Tx Southern Dental Ppo PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- TX SOUTHERN DENTAL PPO PC
- Primary Specialty
- Dentist
- Enumeration Date
- Jan 5, 2024
- Last Updated
- Jan 5, 2024
Practice Location
- Address
- 4189 E HIGHWAY 290
- City
- Dripping Springs
- State
- Texas
- ZIP Code
- 78620-4290
- Phone
- (512) 858-8202
Authorized Official
- Name
- CHRISTINE NELSON
- Title
- VP, REVENUE CYCLE
- Phone
- (469) 450-6482
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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Organizations
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|---|---|
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