Organization · Type 2 NPI

TX Southern Dental Ppo PC

Dentist · Amarillo, TX

NPI number 1851202071 Active

Practice location

1024 S Georgia St
Amarillo, TX 79102-1331

Call (806) 359-1492 Map

Mailing address

5830 Granite Pkwy Ste 780
Plano, TX 75024-6775

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	None 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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NPI record

NPI: 1851202071
Entity type: Organization (Type 2)
Issued: Sep 15, 2026
Last updated: Sep 15, 2026
Status: Active
Subpart: Yes of TX Southern Dental Ppo PC

Other names

Davis Dental Group · doing business as

Authorized official

Erika Melissa Menjivar
Sr. Credentialing Specialist
(469) 596-6137

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1851202071

TX Southern Dental Ppo PC's National Provider Identifier is 1851202071, issued on Sep 15, 2026. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Amarillo, TX. The record was last updated on Sep 15, 2026.