Southlake Endodontics – Dental Clinic/Center, NPI 1730331778

Southlake Endodontics is a healthcare provider. based in Southlake, Texas. specializing in Dental Clinic/Center. The NPI Number for Southlake Endodontics is 1730331778

Main info

Organization
Name
Southlake Endodontics
NPI
1730331778
Phone
(817) 488-3636
Address
1100 E SOUTHLAKE BLVD
Authorized Official
DR. CHARLES MICHAEL LARSEN MEMBER DDS
Enumeration Date
22 October 2008
Last Update Date
22 October 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness80
Years active:17State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Southlake Endodontics

  • 1100, East Southlake Boulevard, Southlake, Tarrant County, Texas, 76092, United States

    SUITE 400

    SOUTHLAKE, TX 760926357

    Phone: (817) 488-3636

    Fax: (817) 421-2372

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76092)

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Reviews

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Frequently asked questions

Is there an official ID for Southlake Endodontics in U.S. healthcare records?
The official identifier for Southlake Endodontics is NPI 1730331778.
Would Southlake Endodontics appear as active to a payer?
You can treat Southlake Endodontics as active for directory purposes; confirm clinical privileges separately.
How would a patient describe Southlake Endodontics's focus?
For Southlake Endodontics, the primary taxonomy reads as Dental Clinic/Center. Clinical services aligned with this taxonomy classification.
Is Southlake Endodontics located near Southlake?
Southlake Endodontics currently maps to Southlake, Texas in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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