Organization · Type 2 NPI

Southpark Dental Group

Dentist · Orlando, FL

NPI number 1093815029 Active

Practice location

8801 Commodity Cir
Orlando, FL 32819-9053

Call (407) 248-0100 Map

Fax (407) 248-8364

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X14090 (FL)
General Practice Dentistry 1223G0001X9168 (FL)
General Practice Dentistry 1223G0001X13762 (FL)
General Practice Dentistry 1223G0001X14238 (FL)
General Practice Dentistry 1223G0001X16360 (FL)
Periodontics 1223P0300X12525 (FL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1093815029

Southpark Dental Group's National Provider Identifier is 1093815029, issued on Sep 22, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Orlando, FL. The record was last updated on Sep 11, 2025.