Tx Southern Dental PPO PC
NPI 1306616867ActiveOrganization· Dentist· Conroe, TX
Dentist in Conroe, Texas, registered in NPPES in January 2024, part of Tx Southern Dental PPO PC. The authorized official on file is Christine Nelson, Vp, Revenue Cycle.
Overview
| NPI | 1306616867 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Tx Southern Dental PPO PC |
| NPI issued | Jan 5, 2024 |
| Last updated in NPPES | Jan 5, 2024 |
| Certified by provider | Jan 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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