Tx Southern Dental Ppo Pc is a Periodontology Clinic in San Antonio, Texas. This organization is also known as sub part of Tx Southern Dental Ppo Pc. It is located at 4871 Fredericksburg Rd, San Antonio, TX and its contact number is 210-349-5553. The authorized person for Tx Southern Dental Ppo Pc is Erika Melissa Menjivar
who is Sr. Credentialing Specialist of the clinic and their contact number is 469-596-6137. Tx Southern Dental Ppo Pc Clinic is specialized in that branch of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Complete Clinic Profile:
Tx Southern Dental Ppo Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Tx Southern Dental Ppo Pc
Specialization:
Periodontology
Clinic Address:
4871 Fredericksburg Rd, San Antonio, Texas, 78229-3627
Phone:
210-349-5553
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Erika Melissa Menjivar
Position:
Sr. Credentialing Specialist
Contact Number:
469-596-6137
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Tx Southern Dental Ppo Pc clinic are as mentioned below.
NPI Number:
1063300960
Parent Organization:
Tx Southern Dental Ppo Pc
NPI Enumeration Date:
27 Jun, 2025
NPI Last Update On:
27 Jun, 2025
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tx Southern Dental Ppo Pc are as mentioned below.
Specialization
License Number
State
Status
Periodontics
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Tx Southern Dental Ppo Pc 5830 Granite Pkwy Ste 780, Plano, Texas
Zip:
75024-6775
Phone Number:
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Patients can reach Tx Southern Dental Ppo Pc at 4871 Fredericksburg Rd, San Antonio, Texas or can call to book an appointment on 210-349-5553. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.