Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Southlake Endodontics, PLLC

Organization Dental Clinic/Center · NPI 1730331778

Advanced Southlake Endodontics, PLLC is a Dental Clinic/Center in Southlake, Texas. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1100 E Southlake Blvd Ste 400
Southlake, TX 76092-6357
Phone: (817) 488-3636
Fax: (817) 421-2372
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1730331778
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Larsen — Member · (817) 488-3636
Other names Southlake Endodontics
NPI enumeratedOctober 22, 2008
Last updated in NPPESOctober 22, 2008
Mailing address1100 E Southlake Blvd, Suite 400, Southlake, TX 76092-6357

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