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

Herzog Southlake PC

Organization Dentist · NPI 1922374263

Herzog Southlake PC is a Dentist in Southlake, Texas. Licensed in Texas. Registered with an NPI since 2012.

Licensed in
TX
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2600 E Southlake Blvd Ste 170
Southlake, TX 76092-6634
Phone: (817) 328-0110
Fax: (817) 328-0121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X (TX)

Record details

NPI number1922374263
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clinton Herzog — Owner · (817) 328-0110
Other names Floss
NPI enumeratedMarch 30, 2012
Last updated in NPPESMarch 30, 2012
Mailing address2600 E Southlake Blvd, Suite 170, Southlake, TX 76092-6634

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