Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Southlake Center for Oral and Reconstructive Surgery, PLLC

Organization Oral & Maxillofacial Surgery (D.M.D.) · NPI 1912811977

Southlake Center for Oral and Reconstructive Surgery, PLLC is an Oral & Maxillofacial Surgery (D.M.D.) in Southlake, Texas. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1480 Corporate Cir Ste 180
Southlake, TX 76092-5964
Phone: (516) 680-0337
Show map & directions

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

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X

Record details

NPI number1912811977
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Schwitzer — Manager · (516) 680-0337
NPI enumeratedSeptember 29, 2026
Last updated in NPPESSeptember 29, 2026
Certification dateSeptember 29, 2026
Mailing address1480 Corporate Cir Ste 180, Southlake, TX 76092-5964

Other providers in Southlake