Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Fl Southern Dental PA

General Practice Dentistry in St Augustine, FL · enumerated 2023 · authorized official Erika Menjivar, Sr. Credentialing Specialist.

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

National Provider Identifier

1265133185

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Registry record

Entity type Organization (Type 2)

Legal business name Fl Southern Dental PA

Parent organization Fl Southern Dental PA

Practice address 100 Whetstone Pl Ste 308, St Augustine, FL, 32086

Phone (904) 810-2345

Enumeration date Mar 16, 2023

Last updated in NPPES Mar 17, 2026

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Erika Menjivar

Title Sr. Credentialing Specialist

Phone (469) 596-6137

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 2026-03-17. Verify at npiregistry.cms.hhs.gov.

Where is Fl Southern Dental PA located?

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

Providers at this address

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Alison Caruso General Practice Dentistry · St Augustine, FL NPI 1952804767

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-17.