Southern Dental LLC
Southern Dental LLC is a healthcare organization registered as General Practice Dentistry in Ocoee, FL, holding Type 2 (organization) NPI 1710004171 since 2007. The authorized official on file is Cary Freeman, Insurance Counsler.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1710004171 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Southern Dental LLC |
| Practice address | 2560 MAGUIRE RD, Ocoee, FL, 34761 |
| Phone | 4076565700 |
| Enumeration date | 2007-03-23 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Cary Freeman |
|---|---|
| Title | Insurance Counsler |
| Phone | 4076565700 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | DN12260 | FL |
Copy-ready billing details
Provider: Southern Dental LLC NPI: 1710004171 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 2560 MAGUIRE RD, Ocoee, FL, 34761
Verify this record
Cross-check NPI 1710004171 against the authoritative CMS record: view Southern Dental LLC on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
Who is the authorized official for Southern Dental LLC?
What is the NPI number for Southern Dental LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.