SOUTHEAST TEXAS DENTAL CENTER
NPI 1356696058
Dentist - General Practice in Jasper, TX

Q: What is Southeast Texas Dental Center's NPI number?

The NPI number for Southeast Texas Dental Center is 1356696058. It was assigned to this organization in the NPPES registry on July 18, 2012.

Q: What is Southeast Texas Dental Center's specialty?

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

Active since July 18, 2012

190 N ZAVALLA ST, JASPER, TX 75951(409) 384-5091(409) 384-5046 Get Directions Write a Review

NPPES record last updated: July 18, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Southeast Texas Dental Center NPPES

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

SOUTHEAST TEXAS DENTAL CENTER (NPI 1356696058) is a healthcare organization registered as a general practice in Jasper, Texas and active in the NPI registry since July 2012. The organization lists Carrie Camille Jordan, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1356696058

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameSOUTHEAST TEXAS DENTAL CENTER

Location Address190 N ZAVALLA STJasper, TX 75951-4119

Mailing Address190 N Zavalla StJasper, TX 75951-4119 · (409) 384-5091 · Fax (409) 384-5046

Phone(409) 384-5091

Fax(409) 384-5046

Organization SubpartNo

Authorized OfficialCarrie Camille JordanBusiness Manager · (409) 384-5091

Enumeration DateJuly 18, 2012

✔ NPI 1356696058 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.

190 N ZAVALLA ST, Jasper, TX 75951

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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 Southeast Texas Dental Center's NPI number?

The NPI number for Southeast Texas Dental Center is 1356696058. It was assigned to this organization in the NPPES registry on July 18, 2012.

Where is Southeast Texas Dental Center located?

Southeast Texas Dental Center is located at 190 N Zavalla St, Jasper, TX 75951. The listed phone number is (409) 384-5091.

What is Southeast Texas Dental Center'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 Southeast Texas Dental Center was last updated on July 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.