Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tx Southern Dental PPO PC

Organization General Practice Dentistry · NPI 1508547886

Tx Southern Dental PPO PC provides General Practice Dentistry in San Antonio, Texas. Registered with an NPI since 2023.

In the registry since
2023
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

5419 Fredericksburg Rd
San Antonio, TX 78229-3503
Phone: (210) 616-0980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1508547886
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationTx Southern Dental PPO PC
Authorized official Christine Nelson — Vp, Revenue Cycle · (469) 450-6482
Other names Oak Hills Periodontics
NPI enumeratedJuly 28, 2023
Last updated in NPPESJuly 28, 2023
Certification dateJuly 28, 2023
Mailing address5830 Granite Pkwy Ste 780, Plano, TX 75024-6775

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