| Tx Southern Dental Ppo Pc | |
| 
					525 Woodland Square Blvd Ste 160 Conroe TX 77384-2212  | |
| (936) 271-3500 | |
| Not Available | 
| Full Name | Tx Southern Dental Ppo Pc | 
|---|---|
| Speciality | Dentist | 
| Location | 525 Woodland Square Blvd Ste 160, Conroe, Texas | 
| Authorized Official Name and Position | Christine Nelson (VP, REVENUE CYCLE) | 
| Authorized Official Contact | 4694506482 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tx Southern Dental Ppo Pc 5830 Granite Pkwy Ste 780 Plano TX 75024-6775 Ph: () -  | Tx Southern Dental Ppo Pc 525 Woodland Square Blvd Ste 160 Conroe TX 77384-2212 Ph: (936) 271-3500  | 
| NPI Number | 1306616867 | 
|---|---|
| Provider Enumeration Date | 01/05/2024 | 
| Last Update Date | 01/05/2024 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1306616867 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary | 
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