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TX SOUTHERN DENTAL PPO PC
NPI 1114898780
Dentist in Irving, TX

Active since September 16, 2025
975 W JOHN CARPENTER FWY STE 115, IRVING, TX 75039(972) 556-1172 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 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 1114898780), doing business as Cosmetic Family Dentistry Of Las Colinas, is a healthcare organization registered as a dentist in Irving, Texas and active in the NPI registry since September 2025. The organization lists Erika Melissa Menjivar, Sr. Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1114898780
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameTX SOUTHERN DENTAL PPO PC
Location Address975 W JOHN CARPENTER FWY STE 115Irving, TX 75039-2512
Mailing Address5830 Granite Pkwy Ste 780Plano, TX 75024-6775
Phone(972) 556-1172
Organization SubpartYes
Authorized OfficialErika Melissa MenjivarSr. Credentialing Manager · (469) 596-6137
Enumeration DateSeptember 16, 2025
NPPES CertifiedSeptember 16, 2025
✔ NPI 1114898780 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.
975 W JOHN CARPENTER FWY STE 115, Irving, TX 75039
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Other Names 1

Doing Business AsCosmetic Family Dentistry Of Las Colinas

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

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 1114898780. It was assigned to this organization in the NPPES registry on September 16, 2025. The provider is doing business as Cosmetic Family Dentistry of Las Colinas.

Where is Tx Southern Dental Ppo PC located?

Tx Southern Dental Ppo PC is located at 975 W John Carpenter Fwy Ste 115, Irving, TX 75039. The listed phone number is (972) 556-1172.

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 September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.