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 14090 (Dentist) in Florida.
Southpark Dental Group 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:
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: | General Practice 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: | 11 Sep, 2025 |
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 | |
| Dentist | 14090 | Florida | Primary | |
| 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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.