Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fl Southern Dental PPO PA

Organization Dentist · NPI 1295524825

Fl Southern Dental PPO PA provides Dentist services in Miami Beach, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

925 Arthur Godfrey Rd Ste 302
Miami Beach, FL 33140-3339
Phone: (786) 207-3179
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1295524825
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationFl Southern Dental PPO PA
Authorized official Erika Menjivar — Sr. Credentialing Specialist · (469) 596-6137
Other names Beach Dental Care
NPI enumeratedMay 1, 2025
Last updated in NPPESMay 1, 2025
Certification dateMay 1, 2025
Mailing address5830 Granite Pkwy Ste 780, Plano, TX 75024-6775

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