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

Southpark Dental Group

Organization Dentist · NPI 1093815029

Southpark Dental Group provides Dentist services in Orlando, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
6
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Practice location Address checks out

8801 Commodity Cir
Orlando, FL 32819-9053
Phone: (407) 248-0100
Fax: (407) 248-8364
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 14090 (FL)
General Practice Dentistry Taxonomy 1223G0001X · Licence 9168 (FL)
General Practice Dentistry Taxonomy 1223G0001X · Licence 13762 (FL)
General Practice Dentistry Taxonomy 1223G0001X · Licence 14238 (FL)
General Practice Dentistry Taxonomy 1223G0001X · Licence 16360 (FL)
Periodontics Taxonomy 1223P0300X · Licence 12525 (FL)

Record details

NPI number1093815029
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Cervenka — Owner · (407) 248-0100
NPI enumeratedSeptember 22, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address8801 Commodity Cir, Orlando, FL 32819-9053

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