Fl Southern Dental PA
Fl Southern Dental PA provides General Practice Dentistry in St Augustine, Florida. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
100 Whetstone Pl Ste 308St Augustine, FL 32086-5775
Phone: (904) 810-2345
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1265133185 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Fl Southern Dental PA |
| Authorized official | Erika Menjivar — Sr. Credentialing Specialist · (469) 596-6137 |
| Other names | Matanzas Dental Group |
| NPI enumerated | March 16, 2023 |
| Last updated in NPPES | March 17, 2026 |
| Certification date | March 17, 2026 |
| Mailing address | 5830 Granite Pkwy Ste 780, Plano, TX 75024-6775 |
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