Southpark Dental Group is a Dental Clinic in Orlando, Florida. It is located at 8801 Commodity Cir, Orlando, FL and its contact number is 407-248-0100. The authorized person for Southpark Dental Group is Dr. John F Cervenka
who is Owner of the clinic and their contact number is 407-248-0100. The primary license number for Southpark Dental Group is 12525 (Periodontics) in Florida. Southpark Dental Group Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Southpark Dental Group Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Southpark Dental Group
Specialization:
Dentistry
Clinic Address:
8801 Commodity Cir, Orlando, Florida, 32819-9053
Phone:
407-248-0100
Fax:
407-248-8364
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:
Dr. John F Cervenka
Position:
Owner
Contact Number:
407-248-0100
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 Southpark Dental Group clinic are as mentioned below.
NPI Number:
1093815029
NPI Enumeration Date:
22 Sep, 2006
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southpark Dental Group are as mentioned below.
Specialization
License Number
State
Status
Periodontics
12525
Florida
Primary
Dentist
14090
Florida
Secondary
General Practice
9168
Florida
Secondary
General Practice
13762
Florida
Secondary
General Practice
14238
Florida
Secondary
General Practice
16360
Florida
Secondary
Periodontics
12525
Florida
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
836729
Other
United Concordia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Southpark Dental Group 8801 Commodity Cir, Orlando, Florida
Zip:
32819-9053
Phone Number:
407-248-0100
Fax Number:
407-248-8364
Patients can reach Southpark Dental Group at 8801 Commodity Cir, Orlando, Florida or can call to book an appointment on 407-248-0100. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.