TX SOUTHERN DENTAL PPO PC
NPI 1467384867
Dentist in San Antonio, TX

Active since June 01, 2026
3138 SE MILITARY DR STE 104, SAN ANTONIO, TX 78223(210) 533-1100 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: July 19, 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 1467384867), doing business as City Base Dental Care, is a healthcare organization registered as a dentist in San Antonio, 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

NPI1467384867
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameTX SOUTHERN DENTAL PPO PC
Location Address3138 SE MILITARY DR STE 104San Antonio, TX 78223-3894
Mailing Address5830 Granite Pkwy Ste 780Plano, TX 75024-6775
Organization SubpartYes
Authorized OfficialErika Melissa MenjivarSr. Credentialing Specialist · (469) 596-6137
Enumeration DateJune 1, 2026
NPPES CertifiedJune 1, 2026
NPI 1467384867 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.

3138 SE MILITARY DR STE 104, San Antonio, TX 78223

Other Names 1

Doing Business AsCity Base Dental Care

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

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

Dentist (General Practice)
3138 SE MILITARY DR STE 104
SAN ANTONIO, TX 78223

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467384867, enumerated as an "organization" on June 01, 2026.

The provider is located at 3138 SE MILITARY DR STE 104 SAN ANTONIO, TX 78223 and the phone number is (210) 533-1100.

Dentist with taxonomy code 122300000X.