Advanced Southlake Endodontics, PLLC
NPI 1730331778 · Dental Clinic/Center · Southlake, TX
Advanced Southlake Endodontics, PLLC is a Dental Clinic/Center organization in Southlake, TX (NPI 1730331778).
Provider details
- NPI number
- 1730331778
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Charles Larsen, Member(817) 488-3636
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Southlake Endodontics
Registry dates
- Enumerated
- 2008-10-22
- Last updated
- 2008-10-22
Frequently asked questions
- What is Advanced Southlake Endodontics, PLLC's NPI number?
- Advanced Southlake Endodontics, PLLC's National Provider Identifier (NPI) is 1730331778, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Southlake Endodontics, PLLC?
- Advanced Southlake Endodontics, PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Advanced Southlake Endodontics, PLLC located?
- Advanced Southlake Endodontics, PLLC's practice location on file with NPPES is 1100 E Southlake Blvd, Southlake, TX 76092-6357.
- What is Advanced Southlake Endodontics, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Advanced Southlake Endodontics, PLLC is (817) 488-3636.
- Who is the authorized official for Advanced Southlake Endodontics, PLLC?
- The authorized official listed on Advanced Southlake Endodontics, PLLC's NPPES record is Charles Larsen, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Southlake Endodontics, PLLC's NPI active?
- Yes — Advanced Southlake Endodontics, PLLC's NPI (1730331778) is active in the NPPES registry as of the last update on 2008-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.