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SOUTHLAKE ENDODONTICS
NPI 1730331778
Clinic/Center - Dental in Southlake, TX

Active since October 22, 2008
1100 E SOUTHLAKE BLVD, SUITE 400, SOUTHLAKE, TX 76092(817) 488-3636(817) 421-2372 Get Directions Write a Review

NPPES record last updated: October 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southlake Endodontics NPPES

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

SOUTHLAKE ENDODONTICS (NPI 1730331778) is a healthcare organization registered as a dental in Southlake, Texas and active in the NPI registry since October 2008. The organization lists Charles Michael Larsen, Member, as its authorized official.

NPPES Registry Identity

NPI1730331778
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameADVANCED SOUTHLAKE ENDODONTICS, PLLC
Location Address1100 E SOUTHLAKE BLVD, SUITE 400Southlake, TX 76092-6357
Mailing Address1100 E Southlake Blvd, Suite 400Southlake, TX 76092-6357 · (817) 488-3636 · Fax (817) 421-2372
Phone(817) 488-3636
Fax(817) 421-2372
Organization SubpartNo
Authorized OfficialCharles Michael LarsenMember · (817) 488-3636
Enumeration DateOctober 22, 2008
✔ NPI 1730331778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1100 E SOUTHLAKE BLVD, Southlake, TX 76092
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Other Names 1

Doing Business AsSouthlake Endodontics

Other Providers at the Same Location NPPES 5

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

HABASH MD
Plastic Surgery
1100 E SOUTHLAKE BLVD, SUITE 250
SOUTHLAKE, TX 76092
Tarrant County (817) 484-0222
CENTER FOR PELVIC HEALTH
Physical Therapist
1100 E SOUTHLAKE BLVD, SUITE 250
SOUTHLAKE, TX 76092
Tarrant County (817) 488-2707
DR. TODD D STRICKLAND D.D.S., P.A
Dentist (General Practice)
1100 E SOUTHLAKE BLVD, 600
SOUTHLAKE, TX 76092
Tarrant County (817) 329-2791
KATIE SCOTT
Nurse Practitioner (Psychiatric/Mental Health)
1100 E SOUTHLAKE BLVD
SOUTHLAKE, TX 76092
Tarrant County (817) 756-1293
DR. TODD W REMMERS DMD
Dentist (Endodontics)
1100 E SOUTHLAKE BLVD, SUITE 400
SOUTHLAKE, TX 76092
Tarrant County (817) 488-3636

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 Advanced Southlake Endodontics, PLLC's NPI number?

The NPI number for Advanced Southlake Endodontics, PLLC is 1730331778. It was assigned to this organization in the NPPES registry on October 22, 2008. The provider is doing business as Southlake Endodontics.

Where is Advanced Southlake Endodontics, PLLC located?

Advanced Southlake Endodontics, PLLC is located at 1100 E Southlake Blvd Suite 400, Southlake, TX 76092. The listed phone number is (817) 488-3636.

What is Advanced Southlake Endodontics, 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 Advanced Southlake Endodontics, PLLC was last updated on October 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.