Tx Southern Dental Ppo Pc

Dentist · Bedford, TX

Call (817) 354-7840 Directions

At a glance

4145 Bedford Rd, Bedford, TX 76021-5251

NPPES record updated Feb 27, 2025. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

4145 Bedford Rd
Bedford, TX 76021-5251

Professional details: NPI, taxonomy & registry record

NPI1861299653

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Registry details

Primary taxonomy: Dentist
Taxonomy code: 122300000X
Enumeration date: Feb 27, 2025
Record updated: Feb 27, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Dentist

122300000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4145 Bedford Rd
Bedford, TX 76021-5251

Phone: (817) 354-7840

Mailing address

5830 GRANITE PKWY STE 780

PLANO, TX 750246775

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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