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

Tolleson Orthodontics PLLC

Organization Dentist · NPI 1114358876

Tolleson Orthodontics PLLC is a Dentist in Southlake, Texas. Registered with an NPI since 2013.

In the registry since
2013
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

1050 E State Highway 114 Ste 120
Southlake, TX 76092-5253
Phone: (817) 416-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1114358876
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shane Tolleson — Owner · (817) 416-2200
NPI enumeratedDecember 6, 2013
Last updated in NPPESDecember 6, 2013
Mailing address1050 E State Highway 114, Ste 120, Southlake, TX 76092-5253

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