Tx Southern Dental Ppo PC
NPI #1689355976 in The Colony, Texas
Provider Information
- NPI Number
- 1689355976
- 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 - General Practice
- Enumeration Date
- Jul 28, 2023
- Last Updated
- Jul 28, 2023
Practice Location
- Address
- 5204 S COLONY BLVD STE 150
- City
- The Colony
- State
- Texas
- ZIP Code
- 75056-2390
- Phone
- (469) 656-7265
Authorized Official
- Name
- CHRISTINE NELSON
- Title
- VP, REVENUE CYCLE
- Phone
- (469) 450-6482
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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