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

Fl Southern Dental PA

Organization Dentist · NPI 1720970569

Fl Southern Dental PA is a Dentist in New Smyrna Beach, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

382 N Cswy
New Smyrna Beach, FL 32169-5233
Phone: (386) 428-6468
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1720970569
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationFl Southern Dental PA
Authorized official Erika Menjivar — Sr. Credentialing Specialist · (469) 596-6137
Other names McKenzie Dental Group
NPI enumeratedJuly 16, 2025
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025
Mailing address5830 Granite Pkwy Ste 780, Plano, TX 75024-6775

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