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TX SOUTHERN DENTAL PPO PC
NPI 1053246256
Dentist in Waco, TX

Active since June 17, 2026
2098 N VALLEY MILLS DR, WACO, TX 76710(254) 799-9540 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tx Southern Dental Ppo Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TX SOUTHERN DENTAL PPO PC (NPI 1053246256), doing business as Legends Dental, is a healthcare organization registered as a dentist in Waco, Texas and active in the NPI registry since June 2026. The organization lists Erika Melissa Menjivar, Sr. Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1053246256
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameTX SOUTHERN DENTAL PPO PC
Location Address2098 N VALLEY MILLS DRWaco, TX 76710-2586
Mailing Address5830 Granite Pkwy Ste 780Plano, TX 75024-6775
Phone(254) 799-9540
Organization SubpartYes
Authorized OfficialErika Melissa MenjivarSr. Credentialing Specialist · (469) 596-6137
Enumeration DateJune 17, 2026
NPPES CertifiedJune 17, 2026
✔ NPI 1053246256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2098 N VALLEY MILLS DR, Waco, TX 76710
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Other Names 1

Doing Business AsLegends Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID H. RHODEN III DDS
Dentist
2098 N VALLEY MILLS DR, STE. B
WACO, TX 76710
McLennan County (254) 399-0390
REBECCA ANN WARMINSKI DPT
Physical Therapist
2098 N VALLEY MILLS DR, STE B
WACO, TX 76710
McLennan County (806) 785-7900
DR. CHANDLER DIANNE SMITH DDS
Dentist (General Practice)
2098 N VALLEY MILLS DR
WACO, TX 76710
McLennan County (254) 799-9540

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tx Southern Dental Ppo PC's NPI number?

The NPI number for Tx Southern Dental Ppo PC is 1053246256. It was assigned to this organization in the NPPES registry on June 17, 2026. The provider is doing business as Legends Dental.

Where is Tx Southern Dental Ppo PC located?

Tx Southern Dental Ppo PC is located at 2098 N Valley Mills Dr, Waco, TX 76710. The listed phone number is (254) 799-9540.

What is Tx Southern Dental Ppo PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Tx Southern Dental Ppo PC was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.