SOUTHPARK DENTAL GROUP
Dentist
Active
Organization
NPI: 1093815029
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | No | 16360 (FL) |
| Dentist - Periodontics | 1223P0300X | No | 12525 (FL) |
| Dentist | 122300000X | Yes | 14090 (FL) |
Frequently Asked Questions
NPI 1093815029 is the National Provider Identifier for SOUTHPARK DENTAL GROUP, a Dentist provider located in Orlando, FL. This NPI was enumerated on September 22, 2006.
Quick Facts
- NPI
- 1093815029
- Type
- Organization
- Enumerated
- Sep 22, 2006
- Last Updated
- Sep 11, 2025
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