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TX SOUTHERN DENTAL PC NPI 1780450858


NPI Information

NPI: 1780450858
Provider Name: TX SOUTHERN DENTAL PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1405 S JOHN REDDITT DR
LUFKIN, TX
ZIP 75904
Phone: (936) 632-6609
Get Directions

TX SOUTHERN DENTAL PC is a general practice dentist in Lufkin, TX. The provider is 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. TX SOUTHERN DENTAL PC NPI is 1780450858. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1405 S JOHN REDDITT DR
LUFKIN, TX
ZIP 75904-811
Phone: (936) 632-6609

The provider's authorized official is Christine Nelson .
The authorized official title is Vp, Revenue Cycle and has the following contact phone number (469) 450-6482.

The enumeration date for this NPI number is 11/30/2023 and was last updated on 11/30/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.