OrganizationActive
Southeast Texas Dental Center
NPI 1356696058 · General Practice Dentistry · Jasper, TX
Southeast Texas Dental Center is a General Practice Dentistry organization in Jasper, TX (NPI 1356696058).
Provider details
- NPI number
- 1356696058
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Carrie Jordan, Business Manager(409) 384-5091
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
190 N Zavalla St
Jasper, TX 75951-4119
Phone: (409) 384-5091
Fax: (409) 384-5046
Street-level locationGet directions
Mailing address
190 N Zavalla St
Jasper, TX 75951-4119
Registry dates
- Enumerated
- 2012-07-18
- Last updated
- 2012-07-18
Frequently asked questions
- What is Southeast Texas Dental Center's NPI number?
- Southeast Texas Dental Center's National Provider Identifier (NPI) is 1356696058, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeast Texas Dental Center?
- Southeast Texas Dental Center is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Southeast Texas Dental Center located?
- Southeast Texas Dental Center's practice location on file with NPPES is 190 N Zavalla St, Jasper, TX 75951-4119.
- What is Southeast Texas Dental Center's phone number?
- The practice phone number listed in the NPPES registry for Southeast Texas Dental Center is (409) 384-5091.
- Who is the authorized official for Southeast Texas Dental Center?
- The authorized official listed on Southeast Texas Dental Center's NPPES record is Carrie Jordan, Business Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeast Texas Dental Center's NPI active?
- Yes — Southeast Texas Dental Center's NPI (1356696058) is active in the NPPES registry as of the last update on 2012-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.