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TX SOUTHERN DENTAL PC
NPI 1780450858
Dentist - General Practice in Lufkin, TX

Active since November 30, 2023
1405 S JOHN REDDITT DR, LUFKIN, TX 75904(936) 632-6609 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tx Southern Dental Pc NPPES

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

TX SOUTHERN DENTAL PC (NPI 1780450858), doing business as Jordan Family Dentistry, is a healthcare organization registered as a general practice in Lufkin, Texas and active in the NPI registry since November 2023. The organization lists Christine Nelson, Vp, Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1780450858
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTX SOUTHERN DENTAL PC
Location Address1405 S JOHN REDDITT DRLufkin, TX 75904-4811
Mailing Address5830 Granite Pkwy Ste 780Plano, TX 75024-6775
Phone(936) 632-6609
Organization SubpartYes
Authorized OfficialChristine NelsonVp, Revenue Cycle · (469) 450-6482
Enumeration DateNovember 30, 2023
NPPES CertifiedNovember 30, 2023
✔ NPI 1780450858 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.
1405 S JOHN REDDITT DR, Lufkin, TX 75904
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Other Names 1

Doing Business AsJordan Family Dentistry

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 4

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

ARTHUR WILLIAM JORDAN DDS
Dentist (General Practice)
1405 S JOHN REDDITT DR
LUFKIN, TX 75904
Angelina County (936) 632-6600
DR. KYLE KING DDS
Dentist
1405 S JOHN REDDITT DR
LUFKIN, TX 75904
Angelina County (936) 632-6609
ANDREW B JORDAN JR. D.D.S.
Dentist (General Practice)
1405 S JOHN REDDITT DR
LUFKIN, TX 75904
Angelina County (936) 632-6609
DR. VALERIE SPERRY DDS
Dentist (General Practice)
1405 S JOHN REDDITT DR
LUFKIN, TX 75904
Angelina County (936) 632-6600

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 PC's NPI number?

The NPI number for Tx Southern Dental PC is 1780450858. It was assigned to this organization in the NPPES registry on November 30, 2023. The provider is doing business as Jordan Family Dentistry.

Where is Tx Southern Dental PC located?

Tx Southern Dental PC is located at 1405 S John Redditt Dr, Lufkin, TX 75904. The listed phone number is (936) 632-6609.

What is Tx Southern Dental 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 PC was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.