TX SOUTHERN DENTAL PPO PC

LEANDER, TX
NPI1700710381
Doing Business AsLEANDER SMILES
Entity TypeOrganization
Authorized ContactERIKA MELISSA MENJIVAR
Sr. Credentialing Specialist
469-596-6137
Organization Subpart ?Yes
Primary Taxonomy122300000X Dentist
Enumeration Date2026-06-10
Last Update Date2026-06-10
Business Address
TX SOUTHERN DENTAL PPO PC
651 N HIGHWAY 183 STE 150
LEANDER, TX 78641-7006
Phone number: 512-260-0123
Mailing Address
TX SOUTHERN DENTAL PPO PC
5830 GRANITE PKWY STE 780
PLANO, TX 75024-6775
Phone number: