NPI age
2 years
Enumerated 2024-01-05
● Active Type 2 · Organization
Subpart
Tx Southern Dental Ppo Pc
Tx Southern Dental Ppo Pc is 1 of 9237 dentist organizations in Texas.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Nelson
Vp, Revenue Cycle
Last NPPES update
2024-01-05
Source: monthly bulk 2026-05
How this organization compares
Across 9237 active dentist providers in Texas.
NPI age
2 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2024 → 2026
2024-01Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
1402 Sw Military Dr
San Antonio, TX 782211556
Mailing address
5830 Granite Pkwy Ste 780
Plano, TX 750246775
Authorized official
Christine Nelson
Vp, Revenue Cycle
📞 4694506482
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Jeffrey Jacobs Dentist NPI 1184784183
Specialties
-
Dentist PrimaryA 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...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Sunrise Family Dental
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
Subpart of Tx Southern Dental Ppo Pc.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.