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Fl Southern Dental Ppo PA

Dentist in Lake Mary, FL · enumerated 2025 · authorized official Erika Menjivar, Sr. Credentialing Specialist.

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

National Provider Identifier

1841096799

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Registry record

Entity type Organization (Type 2)
Legal business name Fl Southern Dental Ppo PA
Parent organization Fl Southern Dental Ppo PA
Practice address 4106 W Lake Mary Blvd Ste 230, Lake Mary, FL, 32746
Phone (407) 333-0881
Enumeration date Feb 21, 2025
Last updated in NPPES Feb 21, 2025

Taxonomy & classification

122300000X Dentist 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.

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Frequently asked questions

What type of organization is Fl Southern Dental Ppo PA?
Fl Southern Dental Ppo PA is registered in NPPES as a Dentist (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-02-21.