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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

STAR IMAGE DENTISTRY OF SOUTHLAKE PLLC
NPI 1215856836
Clinic/Center - Dental in Southlake, TX

Active since July 15, 2026
1480 CORPORATE CIR STE 100, SOUTHLAKE, TX 76092(817) 587-4566(817) 329-0076 Get Directions Write a Review

NPPES record added: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Star Image Dentistry Of Southlake Pllc NPPES

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

STAR IMAGE DENTISTRY OF SOUTHLAKE PLLC (NPI 1215856836) is a healthcare organization registered as a dental in Southlake, Texas and active in the NPI registry since July 2026. The organization lists Brenda Rodgers, Office Administrator, as its authorized official.

NPPES Registry Identity

NPI1215856836
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSTAR IMAGE DENTISTRY OF SOUTHLAKE PLLC
Location Address1480 CORPORATE CIR STE 100Southlake, TX 76092-5963
Mailing Address1480 Corporate Cir Ste 100Southlake, TX 76092-5963 · (817) 587-4566 · Fax (817) 329-0076
Phone(817) 587-4566
Fax(817) 329-0076
Organization SubpartNo
Authorized OfficialBrenda RodgersOffice Administrator · (940) 322-2252
Enumeration DateJuly 15, 2026
NPPES CertifiedJuly 15, 2026
✔ NPI 1215856836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1480 CORPORATE CIR STE 100, Southlake, TX 76092
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Other Providers at the Same Location NPPES

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

STARIMAGE TMJ & SLEEP CENTER PLLC
Dentist (General Practice)
1480 CORPORATE CIR STE 100
SOUTHLAKE, TX 76092
Tarrant County (325) 272-0204

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 Star Image Dentistry Of Southlake PLLC's NPI number?

The NPI number for Star Image Dentistry Of Southlake PLLC is 1215856836. It was assigned to this organization in the NPPES registry on July 15, 2026.

Where is Star Image Dentistry Of Southlake PLLC located?

Star Image Dentistry Of Southlake PLLC is located at 1480 Corporate Cir Ste 100, Southlake, TX 76092. The listed phone number is (817) 587-4566.

What is Star Image Dentistry Of Southlake PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Star Image Dentistry Of Southlake PLLC was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.