Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TX SOUTHERN DENTAL PPO PC
NPI 1336056233
Dentist in San Antonio, TX

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

The NPI number for Tx Southern Dental Ppo PC is 1336056233. It was assigned to this organization in the NPPES registry on August 26, 2026. The provider is doing business as Michael Miller DDS.

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

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

Active since August 26, 2026

4807 FREDERICKSBURG RD, SAN ANTONIO, TX 78229(210) 341-3181 Get Directions Write a Review

NPPES record added: August 26, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

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 1336056233), doing business as Michael Miller Dds, is a healthcare organization registered as a dentist in San Antonio, Texas and active in the NPI registry since August 2026. The organization lists Erika Melissa Menjivar, Sr. Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1336056233

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameTX SOUTHERN DENTAL PPO PC

Location Address4807 FREDERICKSBURG RDSan Antonio, TX 78229-3627

Mailing Address5830 Granite Pkwy Ste 780Plano, TX 75024-6775

Phone(210) 341-3181

Organization SubpartYes

Authorized OfficialErika Melissa MenjivarSr. Credentialing Specialist · (469) 596-6137

Enumeration DateAugust 26, 2026

NPPES CertifiedAugust 26, 2026

✔ NPI 1336056233 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.

4807 FREDERICKSBURG RD, San Antonio, TX 78229

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Other Names 1

Doing Business AsMichael Miller 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

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. DENNIS RAWSON MILLER D.D.S.

Dentist (General Practice)

4807 FREDERICKSBURG RD
SAN ANTONIO, TX 78229

Bexar County (210) 341-3181

DR. DENNIS MICHAEL MILLER D.D.S.

Dentist (General Practice)

4807 FREDERICKSBURG RD
SAN ANTONIO, TX 78229

Bexar County (210) 341-3181

D. MICHAEL MILLER, DDS, PLLC

Dentist

4807 FREDERICKSBURG RD
SAN ANTONIO, TX 78229

Bexar County (210) 341-3181

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 1336056233. It was assigned to this organization in the NPPES registry on August 26, 2026. The provider is doing business as Michael Miller DDS.

Where is Tx Southern Dental Ppo PC located?

Tx Southern Dental Ppo PC is located at 4807 Fredericksburg Rd, San Antonio, TX 78229. The listed phone number is (210) 341-3181.

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 August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.