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

Dr. Charles Michael Larsen, DDS

Individual provider Endodontics · NPI 1568641413

Dr. Charles Michael Larsen, DDS is an Endodontics in Southlake, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

190 S White Chapel Blvd
Southlake, TX 76092-7307
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

Endodontics (primary) Taxonomy 1223E0200X · Licence 21856 (TX)

Record details

NPI number1568641413
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 29, 2007
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025
Mailing address190 S White Chapel Blvd, Southlake, TX 76092-7307

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