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Tx Southern Dental Ppo PC

General Practice Dentistry in The Colony, TX · enumerated 2023 · authorized official Erika Menjivar, Sr. Credentialing Specialist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1689355976

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Registry record

Entity type Organization (Type 2)
Legal business name Tx Southern Dental Ppo PC
Parent organization Tx Southern Dental Ppo PC
Practice address 5204 S Colony Blvd Ste 150, The Colony, TX, 75056
Phone (469) 656-7265
Enumeration date Jul 28, 2023
Last updated in NPPES Mar 17, 2026

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Erika Menjivar
Title Sr. Credentialing Specialist
Phone (469) 596-6137

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Tx Southern Dental Ppo PC?
Tx Southern Dental Ppo PC is registered in NPPES as a General Practice Dentistry (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-17.