TX SOUTHERN DENTAL P.C.
Dentist (Periodontics)

Address: 7400 Blanco Rd Ste 100, San Antonio, TX 78216-4361

TX SOUTHERN DENTAL P.C. (NPI# 1386223121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386223121
Entity Type Organization
Organization Name TX SOUTHERN DENTAL P.C.
Practice Address 7400 Blanco Rd Ste 100
San Antonio
TX 78216-4361
Practice Telephone 2103494424
Mailing Address 5830 Granite Pkwy Ste 780
Plano
TX 75024-6775
Mailing Telephone 4695966021
Certification Date 2021-04-07
Enumeration Date 2021-04-07
Last Update Date 2021-04-07
Authorized Official Telephone 4695966021
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
N 1223P0300X Dentist
Specialization: Periodontics
193200000X MULTI-SPECIALTY GROUP Dental Providers
N 1223P0700X Dentist
Specialization: Prosthodontics
193200000X MULTI-SPECIALTY GROUP Dental Providers
Y 1223G0001X Dentist
Specialization: General Practice
193200000X MULTI-SPECIALTY GROUP Dental Providers

Other Provider/Organization Names

Other Name Type Code
Masters Dental Group, P.C. Doing Business As Name

Other providers with the same name

NPI Name Taxonomy Address Enumeration
1235718974 Tx Southern Dental P.C. Dentist 12335 Hymeadow Dr Ste 100, Austin, TX 78750-1935 2021-04-07
1942846340 Tx Southern Dental P.C. Dentist 333 N Allen Dr, Allen, TX 75013-2539 2019-11-20

Office Location

Street Address 7400 BLANCO RD STE 100
City SAN ANTONIO
State TX
Zip Code 78216-4361

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942856281 Trina Bolden · Trina Jones Counselor - Addiction (Substance Use Disorder) 7400 Blanco Rd Ste 126, San Antonio, TX 78216-4361 2019-08-13
1316400104 Mahogany Armstead Behavioral Analyst 7400 Blanco Rd Ste 115, San Antonio, TX 78216-4361 2019-04-09
1093162869 Gilyard Medical and Oncology Massage · Gilyard Medical Massage Massage Therapist 7400 Blanco Rd Ste 122, San Antonio, TX 78216-4361 2016-05-20
1336624741 Jeremy Anthony Rodriguez Behavioral Analyst 7400 Blanco Rd Ste 115, San Antonio, TX 78216-4361 2018-10-02
1912489709 Gilyard Medical and Oncology Massage, Inc. Registered Nurse - Nurse Massage Therapist (NMT) 7400 Blanco Rd Ste 122, San Antonio, TX 78216-4361 2018-08-29
1639581564 Monica Paola Palma Behavioral Analyst 7400 Blanco Rd Ste 115, San Antonio, TX 78216-4361 2014-05-27

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1871172882 Valor Medical Solutions Durable Medical Equipment & Medical Supplies 10406 Gulfdale, San Antonio, TX 78216 2021-04-06
1588266605 Vayu Advanced Wound Clinic and Hyperbarics Pllc Clinic/Center Hyperheal Advanced Wound Clinic Pllc, 13423 Blanco Road # 767, San Antonio, TX 78216 2020-11-13
1376179820 Damiana Lea Mcmahan Speech-Language Pathologist 12 Inter Park Blvd, #105, San Antonio, TX 78216 2020-03-17
1811530967 Hacienda Hospice, Ltd Hospice Care, Community Based 101 W Silver Sands Dr, San Antonio, TX 78216 2019-10-22
1437792876 Eddy Sidra Optometrist 7400 San Pedro Avenue, Suite 486, San Antonio, TX 78216 2019-10-17
1083256796 Tiffany Michelle Goericke Physical Therapist 502 East Ramsey, San Antonio, TX 78216 2019-10-14
1780246942 Esperanza Eating Disorders Center, Pllc Clinic/Center - Adult Mental Health 403 E. Ramsey, Suite 204, San Antonio, TX 78216 2019-07-08
1568938314 Lyric Lea Lewis Licensed Vocational Nurse 85 Ne Interstate 410 Loop #500, San Antonio, TX 78216 2018-10-19
1912488206 Rebecca Anna Poppe Licensed Vocational Nurse 1514 Vista Del Norte, San Antonio, TX 78216 2018-08-24
1205338779 Bailee Hannah Mokry Behavioral Analyst 11306 Sir Winston, San Antonio, TX 78216 2018-03-01
Find all providers in zip 78216

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy 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.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639765019 Morrison Dental, Pllc Dentist - General Practice 21023 Market Rdg, San Antonio, TX 78258-4975 2020-12-18
1083200158 Nicole Granato Dentist - General Practice 7272 Wurzbach Rd Ste 1004, San Antonio, TX 78240-4804 2020-12-14
1306452354 Cesar Oscar Gonzalez Dentist - General Practice 20122 Stone Oak Pkwy Ste 101, San Antonio, TX 78258-7041 2020-09-16
1023622644 Dental Health Associates of Texas, PC Dentist - General Practice 8940 Culebra Rd, San Antonio, TX 78251-2812 2020-09-01
1104436831 Tian Meng Dentist - General Practice 8110 W Loop 1604 N, San Antonio, TX 78254-2104 2020-08-07
1295345684 Justin Mrochek Dentist - General Practice 2020 Pleasanton Rd, San Antonio, TX 78221-1305 2020-07-31
1598373839 Nicolas Richards Dentist - General Practice 9820 Potranco Rd Ste 106, San Antonio, TX 78251-9627 2020-07-22
1134743990 Nancy Dinh Ly Dentist - General Practice 9514 Potranco Rd, San Antonio, TX 78251-9601 2020-06-07
1780217976 Tovar Dental, Pllc Dentist - General Practice 11840 Alamo Ranch Parkway, #90, San Antonio, TX 78253 2020-02-17
1386275071 Tony Thomas Dds P.C. Dentist - General Practice 3829 Lockhill Selma Rd Ste 100, San Antonio, TX 78230-1762 2020-01-31
Find all providers in SAN ANTONIO

Competitor

Search similar providers

City SAN ANTONIO
Zip Code 78216

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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