Fl Southern Dental Pa is a Dental Clinic in St Augustine, Florida. This organization is also known as sub part of Fl Southern Dental Pa. It is located at 100 Whetstone Pl Ste 308, St Augustine, FL and its contact number is 904-810-2345. The authorized person for Fl Southern Dental Pa is Erika Melissa Menjivar
who is Sr. Credentialing Specialist of the clinic and their contact number is 469-596-6137.
Fl Southern Dental Pa Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Fl Southern Dental Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Fl Southern Dental Pa |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 100 Whetstone Pl Ste 308, St Augustine,
Florida, 32086-5775 |
| Phone: | 904-810-2345 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Erika Melissa Menjivar |
| Position: | Sr. Credentialing Specialist |
| Contact Number: | 469-596-6137 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Fl Southern Dental Pa clinic are as mentioned below.
| NPI Number: | 1265133185 |
| Parent Organization: | Fl Southern Dental Pa |
| NPI Enumeration Date: | 16 Mar, 2023 |
| NPI Last Update On: | 17 Mar, 2026 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fl Southern Dental Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Fl Southern Dental Pa
5830 Granite Pkwy Ste 780,
Plano, Texas |
| Zip: | 75024-6775 |
| Phone Number: | 469-596-6011 |
Patients can reach Fl Southern Dental Pa at
100 Whetstone Pl Ste 308, St Augustine, Florida or can
call to book an appointment on 904-810-2345.
Comments/ Reviews:
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 June, 2026.