TX SOUTHERN DENTAL PC
NPI 1194402917
Dentist - General Practice in San Antonio, TX

Q: What is Tx Southern Dental PC's NPI number?

The NPI number for Tx Southern Dental PC is 1194402917. It was assigned to this organization in the NPPES registry on July 3, 2023. The provider is doing business as C. Roger Macias, Jr., DDS.

Q: What is Tx Southern Dental PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since July 03, 2023

21 SPURS LN STE 130, SAN ANTONIO, TX 78240(210) 614-2020 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tx Southern Dental Pc NPPES

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

TX SOUTHERN DENTAL PC (NPI 1194402917), doing business as C. Roger Macias, Jr., Dds, is a healthcare organization registered as a general practice in San Antonio, Texas and active in the NPI registry since July 2023. The organization lists Christine Nelson, Vp, Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1194402917

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameTX SOUTHERN DENTAL PC

Location Address21 SPURS LN STE 130San Antonio, TX 78240-1670

Mailing Address5830 Granite Pkwy Ste 780Plano, TX 75024-6775 · (469) 450-6482

Phone(210) 614-2020

Organization SubpartYes

Authorized OfficialChristine NelsonVp, Revenue Cycle · (469) 450-6482

Enumeration DateJuly 3, 2023

NPPES CertifiedJuly 3, 2023

✔ NPI 1194402917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

21 SPURS LN STE 130, San Antonio, TX 78240

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Other Names 1

Doing Business AsC. Roger Macias, Jr., Dds

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 PC's NPI number?

The NPI number for Tx Southern Dental PC is 1194402917. It was assigned to this organization in the NPPES registry on July 3, 2023. The provider is doing business as C. Roger Macias, Jr., DDS.

Where is Tx Southern Dental PC located?

Tx Southern Dental PC is located at 21 Spurs Ln Ste 130, San Antonio, TX 78240. The listed phone number is (210) 614-2020.

What is Tx Southern Dental PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Tx Southern Dental PC was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.