Tx Southern Dental PPO PC
NPI 1871274159ActiveOrganization· Dentist, General Practice· Lake Jackson, TX
Dentist, General Practice in Lake Jackson, Texas, registered in NPPES in July 2023, part of Tx Southern Dental PPO PC. The authorized official on file is Christine Nelson, Vp, Revenue Cycle.
Overview
| NPI | 1871274159 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Tx Southern Dental PPO PC |
| NPI issued | Jul 28, 2023 |
| Last updated in NPPES | Jul 28, 2023 |
| Certified by provider | Jul 28, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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