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TX SOUTHERN DENTAL PPO PC
NPI 1508547886
Dentist - General Practice in San Antonio, TX

Active since July 28, 2023
5419 FREDERICKSBURG RD, SAN ANTONIO, TX 78229(210) 616-0980 Get Directions Write a Review

NPPES record last updated: July 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 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 1508547886), doing business as Oak Hills Periodontics, 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

NPI1508547886
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTX SOUTHERN DENTAL PPO PC
Location Address5419 FREDERICKSBURG RDSan Antonio, TX 78229-3503
Mailing Address5830 Granite Pkwy Ste 780Plano, TX 75024-6775 · (469) 450-6482
Phone(210) 616-0980
Organization SubpartYes
Authorized OfficialChristine NelsonVp, Revenue Cycle · (469) 450-6482
Enumeration DateJuly 28, 2023
NPPES CertifiedJuly 28, 2023
✔ NPI 1508547886 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.
5419 FREDERICKSBURG RD, San Antonio, TX 78229
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Other Names 1

Doing Business AsOak Hills Periodontics

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.

GABRIELLA DANIELLE DIAZ DDS, MSD
Dentist (Periodontics)
5419 FREDERICKSBURG RD
SAN ANTONIO, TX 78229
Bexar County (210) 616-0980
DR. YOAV SHILOAH DDS
Dentist (Endodontics)
5419 FREDERICKSBURG RD
SAN ANTONIO, TX 78229
Bexar County (210) 342-2444
DR. PAMELA SUE RAY D.D.S.
Dentist (Periodontics)
5419 FREDERICKSBURG RD, OAK HILLS PERIODONTICS - DR. PAMELA RAY
SAN ANTONIO, TX 78229
Bexar County (210) 616-0980

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 1508547886. It was assigned to this organization in the NPPES registry on July 28, 2023. The provider is doing business as Oak Hills Periodontics.

Where is Tx Southern Dental Ppo PC located?

Tx Southern Dental Ppo PC is located at 5419 Fredericksburg Rd, San Antonio, TX 78229. The listed phone number is (210) 616-0980.

What is Tx Southern Dental Ppo 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 Ppo PC was last updated on July 28, 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.