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TOLLESON ORTHODONTICS PLLC
NPI 1114358876
Dentist in Southlake, TX

Active since December 06, 2013
1050 E STATE HIGHWAY 114, STE 120, SOUTHLAKE, TX 76092(817) 416-2200 Get Directions Write a Review

NPPES record last updated: December 6, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tolleson Orthodontics Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TOLLESON ORTHODONTICS PLLC (NPI 1114358876) is a healthcare organization registered as a dentist in Southlake, Texas and active in the NPI registry since December 2013. The organization lists Shane Tolleson, Owner, as its authorized official.

NPPES Registry Identity

NPI1114358876
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameTOLLESON ORTHODONTICS PLLC
Location Address1050 E STATE HIGHWAY 114, STE 120Southlake, TX 76092-5253
Mailing Address1050 E State Highway 114, Ste 120Southlake, TX 76092-5253 · (817) 416-2200
Phone(817) 416-2200
Organization SubpartNo
Authorized OfficialShane TollesonOwner · (817) 416-2200
Enumeration DateDecember 6, 2013
✔ NPI 1114358876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1050 E STATE HIGHWAY 114, Southlake, TX 76092
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL W DOTTI M.D.
Family Medicine
1050 E STATE HIGHWAY 114, STE 100
SOUTHLAKE, TX 76092
Tarrant County (817) 329-8364
MS. ALICE LAZARESCU MD
Hospitalist
1050 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092
Tarrant County (817) 329-8364

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tolleson Orthodontics PLLC's NPI number?

The NPI number for Tolleson Orthodontics PLLC is 1114358876. It was assigned to this organization in the NPPES registry on December 6, 2013.

Where is Tolleson Orthodontics PLLC located?

Tolleson Orthodontics PLLC is located at 1050 E State Highway 114 Ste 120, Southlake, TX 76092. The listed phone number is (817) 416-2200.

What is Tolleson Orthodontics PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Tolleson Orthodontics PLLC was last updated on December 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.