Organization · Type 2 NPI

FL Southern Dental Ppo PA

Dentist · Davie, FL

NPI number 1124817754 Active

Practice location

4745 SW 148th Ave
Davie, FL 33330-2126

Mailing address

5830 Granite Pkwy Ste 780
Plano, TX 75024-6775

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XNone listed

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 1124817754

FL Southern Dental Ppo PA's National Provider Identifier is 1124817754, issued on May 1, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Davie, FL. The record was last updated on May 1, 2025.