Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Southpark Dental Group

Dentist in Orlando, FL · enumerated 2006 · authorized official John Cervenka, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093815029

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Registry record

Entity type Organization (Type 2)

Legal business name Southpark Dental Group

Practice address 8801 Commodity Cir, Orlando, FL, 32819

Phone (407) 248-0100

Fax (407) 248-8364

Enumeration date Sep 22, 2006

Last updated in NPPES Sep 11, 2025

Taxonomy & classification

122300000X Dentist Dental Providers · License 14090 (FL) Primary

1223G0001X General Practice Dentistry Dental Providers · License 9168 (FL) Secondary

1223G0001X General Practice Dentistry Dental Providers · License 13762 (FL) Secondary

1223G0001X General Practice Dentistry Dental Providers · License 14238 (FL) Secondary

1223G0001X General Practice Dentistry Dental Providers · License 16360 (FL) Secondary

1223P0300X Periodontics Dental Providers · License 12525 (FL) Secondary

Authorized official

Name John Cervenka

Title Owner

Phone (407) 248-0100

Other identifiers

Identifier	Type	State	Issuer
836729	Other	-	UNITED CONCORDIA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-09-11. Verify at npiregistry.cms.hhs.gov.

Where is Southpark Dental Group located?

The practice location on file with NPPES is in Orlando, FL.

Providers at this address

Browse all →

John Cervenka General Practice Dentistry · Orlando, FL NPI 1598868614 Diana Gomez General Practice Dentistry · Orlando, FL NPI 1073619953 Amy Hertz General Practice Dentistry · Orlando, FL NPI 1912099813 Shauna Coen Dentist · Orlando, FL NPI 1508987470 Yadiris Reiter Dentist · Orlando, FL NPI 1407086929 Amber Medellin General Practice Dentistry · Orlando, FL NPI 1720601628 Gaetano Capozza Dentist · Orlando, FL NPI 1770101404

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.