Tx Southern Dental PC

NPI #1972474526 in Dallas, Texas

Provider Information

NPI Number: 1972474526
Entity Type: Organization
Organization Name: Tx Southern Dental PC
Subpart: Yes (part of a larger organization)
Parent Organization: TX SOUTHERN DENTAL PC
Primary Specialty: Dentist
Enumeration Date: Sep 16, 2025
Last Updated: Sep 16, 2025

Practice Location

Address: 9669 N CENTRAL EXPY STE 220
City: Dallas
State: Texas
ZIP Code: 75231-5054
Phone: (214) 696-9966

Authorized Official

Name: ERIKA MELISSA MENJIVAR
Title: CREDENTIALING MANAGER
Phone: (469) 596-6137

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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