Organization · Type 2 NPI

FL Southern Dental Ppo PA

Dentist · Wellington, FL

NPI number 1437043536 Active

Practice location

12788 Forest Hill Blvd Ste 2001
Wellington, FL 33414-4703

Call (561) 798-8023 Map

Mailing address

5830 Granite Pkwy Ste 780
Plano, TX 75024-6775

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	None 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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NPI record

NPI: 1437043536
Entity type: Organization (Type 2)
Issued: Jun 4, 2025
Last updated: Jun 6, 2025
Status: Active
Subpart: Yes of FL Southern Dental Ppo PA

Other names

<unavail>
Wellington Smiles · doing business as

Authorized official

Erika Melissa Menjivar
Sr. Credentialing Specialist
(469) 596-6137

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1437043536

FL Southern Dental Ppo PA's National Provider Identifier is 1437043536, issued on Jun 4, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Wellington, FL. The record was last updated on Jun 6, 2025.