NPI age
19 years
Enumerated 2007-04-11
● Active Type 2 · Organization
Southlake Dental Corp
Southlake Dental Corp is 1 of 625 dentist organizations in Texas.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Matelski
President
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 625 active dentist providers in Texas.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
1124 S Lake Street, Suite B
Fort Worth, TX 76104
Mailing address
1124 S Lake Street, Suite B
Fort Worth, TX 76104
Authorized official
Dwain Edwin Matelski
President
📞 8173361166
Specialties
-
Dentist PrimaryThat specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Dwain E Matelski DDS Periodontist
Practice context
Single-site organization. Only one practice location on file.
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