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

Southeastern Dental Group

Organization Dentist · NPI 1861403883

Southeastern Dental Group is a Dentist in Orlando, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
2

Practice location Address checks out

6415 S Chickasaw Trl
Orlando, FL 32829
Phone: (407) 382-2282
Fax: (407) 382-2858
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN15714 (FL)
Dentist Taxonomy 122300000X · Licence DN15633 (FL)

Record details

NPI number1861403883
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Morra — Managing Partner · (407) 382-2282
Other names Family And Cosmetic Dentistry At Vista Lakes
NPI enumeratedAugust 11, 2006
Last updated in NPPESAugust 22, 2020
Mailing address6415 South Chickasaw Trail, Orlando, FL 32829

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