P Praxis·MD
● Active Type 2 · Organization

Southwestern Perio & Implant, Pllc

Clinic/Center·Coppell, TX· NPI 1801242995 · Enumerated 2016 · 10 years on NPI
Southwestern Perio & Implant, Pllc is 1 of 1762 clinic/center organizations in Texas.
NPI age
10 years
Enumerated 2016-05-09
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lee
Owner
Last NPPES update
2016-05-09
Source: monthly bulk 2026-05

How this organization compares

Across 1762 active clinic/center providers in Texas.

NPI age
10 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2016 → 2026

2016-05Enumerated in NPPES
2016 2026

Where they practice

Primary practice location
697 E State Highway 121 Ste 100
Coppell, TX 750197950
📞 9723152345
Mailing address
697 E State Highway 121 Ste 100
Coppell, TX 750197950
📞 9723152345

Authorized official

Jaebum Lee, DDS
Owner
📞 9723152345

Specialties

  • Clinic/Center Primary
    Definition to come...
    TX license #29604 taxonomy 261QD0000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Edelweiss Dental Implant Center
    Type code 3 recorded 2016-05-09

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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