NPI age
14 years
Enumerated 2012-03-30
● Active Type 2 · Organization
Herzog Southlake Pc
Herzog Southlake Pc is 1 of 9237 dentist organizations in Texas.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Herzog
Owner
Last NPPES update
2012-03-30
Source: monthly bulk 2026-05
How this organization compares
Across 9237 active dentist providers in Texas.
NPI age
14 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-03Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
2600 E Southlake Blvd, Suite 170
Southlake, TX 760926634
Mailing address
2600 E Southlake Blvd, Suite 170
Southlake, TX 760926634
Authorized official
Clinton F Herzog, DDS
Owner
📞 8173280110
Specialties
-
Dentist PrimaryA 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...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
FLOSS
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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