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

Fl Southern Dental PPO PA

Organization Dentist · NPI 1598605081

Fl Southern Dental PPO PA is a Dentist in Tampa, Florida. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1407 W Swann Ave
Tampa, FL 33606-2532
Phone: (813) 251-1548
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1598605081
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationFl Southern Dental PPO PA
Authorized official Erika Menjivar — Sr. Credentialing Specialist · (469) 596-6137
Other names Hyde Park Center For Aesthetic Dentistry
NPI enumeratedApril 1, 2026
Last updated in NPPESApril 1, 2026
Certification dateApril 1, 2026
Mailing address5830 Granite Pkwy Ste 780, Plano, TX 75024-6775

Other providers in Tampa