OrganizationActive
Herzog Southlake PC
NPI 1922374263 · Dentist · Southlake, TX
Herzog Southlake PC is a Dentist organization in Southlake, TX (NPI 1922374263).
Provider details
- NPI number
- 1922374263
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Clinton Herzog, Owner(817) 328-0110
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
2600 E Southlake Blvd
Suite 170
Southlake, TX 76092-6634
Phone: (817) 328-0110
Fax: (817) 328-0121
Street-level locationGet directions
Mailing address
2600 E Southlake Blvd
Southlake, TX 76092-6634
Other names (DBA / former)
- Doing business as
- Floss
Registry dates
- Enumerated
- 2012-03-30
- Last updated
- 2012-03-30
Frequently asked questions
- What is Herzog Southlake PC's NPI number?
- Herzog Southlake PC's National Provider Identifier (NPI) is 1922374263, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Herzog Southlake PC?
- Herzog Southlake PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Herzog Southlake PC located?
- Herzog Southlake PC's practice location on file with NPPES is 2600 E Southlake Blvd, Southlake, TX 76092-6634.
- What is Herzog Southlake PC's phone number?
- The practice phone number listed in the NPPES registry for Herzog Southlake PC is (817) 328-0110.
- Who is the authorized official for Herzog Southlake PC?
- The authorized official listed on Herzog Southlake PC's NPPES record is Clinton Herzog, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Herzog Southlake PC's NPI active?
- Yes — Herzog Southlake PC's NPI (1922374263) is active in the NPPES registry as of the last update on 2012-03-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.