Periodontal practice · Fort Worth, Texas

Southlake Dental Corp

1124 S Lake Street Suite B, Fort Worth, TX 76104

A register entry from the federal NPI registry, read October 2, 2026. Not a recommendation, a rating or proof of licensure.

The register record

Register kind
Periodontal practice
Practice address
1124 S Lake Street Suite B, Fort Worth, TX 76104
NPI
1154544740
License
9930 as shown in the register. Verify it at the TSBDE license lookup
In the register since
April 11, 2007
Record last updated
August 22, 2020
Read by us
October 2, 2026

On the map

The pin marks the self-reported register address above, not a verified location.

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What a periodontal practice is

The register lists this organization under the periodontics taxonomy, the dental specialty that places implants and treats the gums. An organization record says nothing about the individual providers working there; ask who would treat you and check their license at the Texas State Board of Dental Examiners.

This page shows the NPPES NPI register record as we read it on October 2, 2026, and nothing else: no ratings, no reviews, and no payment for placement. CMS notes that holding an NPI does not ensure or validate licensure or credentials. If this is your record and something is wrong, tell us and we will correct or remove it against the register.

Nearby on the Fort Worth register

Other implant specialists on the Fort Worth register, nearest first by register address. The same rules apply: a register entry, not a recommendation.

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