Organization · Type 2 NPI

TX Southern Dental Ppo PC

Dentist · Waco, TX

NPI number 1053246256 Active

Practice location

2098 N Valley Mills Dr
Waco, TX 76710-2586

Call (254) 799-9540 Map

Mailing address

5830 Granite Pkwy Ste 780
Plano, TX 75024-6775

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XNone listed

Dentist: A 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 degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1053246256

TX Southern Dental Ppo PC's National Provider Identifier is 1053246256, issued on Jun 17, 2026. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Waco, TX. The record was last updated on Jun 17, 2026.