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 provides Dentist services 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 Not confirmed with CMS for 14 years — call before visiting
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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