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TX SOUTHERN DENTAL PPO PC
NPI 1831969302
Dentist in Colleyville, TX

Active since January 05, 2024
5005 HERITAGE AVE STE 100, COLLEYVILLE, TX 76034(682) 738-3029 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2026, Jan 5, 2024 (2 updates tracked since 2024).

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 1831969302), doing business as Colleyville Family Dental, is a healthcare organization registered as a dentist in Colleyville, Texas and active in the NPI registry since January 2024. The organization lists Erika Melissa Menjivar, Sr. Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1831969302
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameTX SOUTHERN DENTAL PPO PC
Location Address5005 HERITAGE AVE STE 100Colleyville, TX 76034-5985
Mailing Address5830 Granite Pkwy Ste 780Plano, TX 75024-6775
Phone(682) 738-3029
Organization SubpartYes
Authorized OfficialErika Melissa MenjivarSr. Credentialing Specialist · (469) 596-6137
Enumeration DateJanuary 5, 2024
Last NPPES UpdateMarch 17, 20262 updates tracked since enumeration
NPPES CertifiedMarch 17, 2026
✔ NPI 1831969302 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.
5005 HERITAGE AVE STE 100, Colleyville, TX 76034
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Other Names 1

Doing Business AsColleyville 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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 1831969302. It was assigned to this organization in the NPPES registry on January 5, 2024. The provider is doing business as Colleyville Family Dental.

Where is Tx Southern Dental Ppo PC located?

Tx Southern Dental Ppo PC is located at 5005 Heritage Ave Ste 100, Colleyville, TX 76034. The listed phone number is (682) 738-3029.

What is Tx Southern Dental Ppo PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Tx Southern Dental Ppo PC accept?

Health plans from UnitedHealthcare list Tx Southern Dental Ppo PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.