Herzog Preston Royal PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

20423 Issued in TX

Legal business name

HERZOG PRESTON ROYAL PLLC

Doing business as

Floss

Practice address

10763 Preston Rd
Dallas, TX 75230-3806

Phone

(214) 217-4411

NPI assigned

Jul 21, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Clint Herzog, DDS

Title

Ceo/President

Phone

(214) 208-1666

Specialties & licenses 1

Addresses

Other names 1

• FLOSS Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anas Muaamar

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1053833327
  NPD (past)
• Monika Tu-Khanh Nguyen, D.D.S.

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1063691202
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1457649659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10763 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752303806",
            "telephone_number": "214-217-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10763 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752303806",
            "telephone_number": "214-217-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERZOG PRESTON ROYAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-21",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "HERZOG",
        "authorized_official_first_name": "CLINT",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "214-208-1666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "20423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLOSS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Larry D. Herwig VI
• Joachim Herz, MD
• Dana Herzi, RN
• Herzog Lakewood PC (Floss)
• Herzog Oaklawn PLLC (FLOSS Dental)
• Herzog Uptown PLLC (FLOSS Uptown)
• Clint F Herzog, D.D.S.
• Steven Paul Herzog, M.D.
• Taylor Mark Herzog, MD
• Ryan Thomas Heslin, MD

• Dentist in Dallas, TX
• Providers in Dallas, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.