Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Southeast Texas Dental Center

Organization General Practice Dentistry · NPI 1356696058

Southeast Texas Dental Center provides General Practice Dentistry in Jasper, Texas. Licensed in Texas. Registered with an NPI since 2012.

Licensed in
TX
In the registry since
2012

Practice location Address checks out

190 N Zavalla St
Jasper, TX 75951-4119 Not confirmed with CMS for 14 years — call before visiting
Phone: (409) 384-5091
Fax: (409) 384-5046
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X (TX)

Record details

NPI number1356696058
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carrie Jordan — Business Manager · (409) 384-5091
NPI enumeratedJuly 18, 2012
Last updated in NPPESJuly 18, 2012
Mailing address190 N Zavalla St, Jasper, TX 75951-4119

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