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TX SOUTHERN DENTAL PPO PC
NPI 1689355976
Dentist - General Practice in The Colony, TX

Active since July 28, 2023
5204 S COLONY BLVD STE 150, THE COLONY, TX 75056(469) 656-7265 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2026, Jul 28, 2023 (2 updates tracked since 2023).

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 1689355976), doing business as The Colony Family Dental, is a healthcare organization registered as a general practice in The Colony, Texas and active in the NPI registry since July 2023. The organization lists Erika Melissa Menjivar, Sr. Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1689355976
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTX SOUTHERN DENTAL PPO PC
Location Address5204 S COLONY BLVD STE 150The Colony, TX 75056-2390
Mailing Address5830 Granite Pkwy Ste 780Plano, TX 75024-6775 · (469) 450-6482
Phone(469) 656-7265
Organization SubpartYes
Authorized OfficialErika Melissa MenjivarSr. Credentialing Specialist · (469) 596-6137
Enumeration DateJuly 28, 2023
Last NPPES UpdateMarch 17, 20262 updates tracked since enumeration
NPPES CertifiedMarch 17, 2026
✔ NPI 1689355976 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.
5204 S COLONY BLVD STE 150, The Colony, TX 75056
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Other Names 1

Doing Business AsThe Colony Family Dental

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 2

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

DR. DAVID ROSSEN DDS
Dentist
5204 S COLONY BLVD STE 150
THE COLONY, TX 75056
Denton County (972) 625-2361
PRIME FAMILY DENTISTRY, P.C.
Dentist (General Practice)
5204 S COLONY BLVD STE 150
THE COLONY, TX 75056
Denton County (972) 625-2361

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 1689355976. It was assigned to this organization in the NPPES registry on July 28, 2023. The provider is doing business as The Colony Family Dental.

Where is Tx Southern Dental Ppo PC located?

Tx Southern Dental Ppo PC is located at 5204 S Colony Blvd Ste 150, The Colony, TX 75056. The listed phone number is (469) 656-7265.

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 March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.