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 1679379523

Fl Southern Dental PPO PA provides Dentist services in Winter Park, 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

1100 N Kentucky Ave
Winter Park, FL 32789-4741
Phone: (407) 647-6261
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 number1679379523
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationFl Southern Dental PPO PA
Authorized official Erika Menjivar — Sr. Credentialing Specialist · (469) 596-6137
Other names Acuna Dentistry
NPI enumeratedFebruary 21, 2025
Last updated in NPPESFebruary 21, 2025
Certification dateFebruary 21, 2025
Mailing address5830 Granite Pkwy Ste 780, Plano, TX 75024-6775

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