Southpark Dental Group
Southpark 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
- 6
Practice location Address checks out
8801 Commodity CirOrlando, FL 32819-9053
Phone: (407) 248-0100
Fax: (407) 248-8364
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 14090 (FL) |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X · Licence 9168 (FL) |
| General Practice Dentistry | Taxonomy 1223G0001X · Licence 13762 (FL) |
| General Practice Dentistry | Taxonomy 1223G0001X · Licence 14238 (FL) |
| General Practice Dentistry | Taxonomy 1223G0001X · Licence 16360 (FL) |
| Periodontics | Taxonomy 1223P0300X · Licence 12525 (FL) |
Record details
| NPI number | 1093815029 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Cervenka — Owner · (407) 248-0100 |
| NPI enumerated | September 22, 2006 |
| Last updated in NPPES | September 11, 2025 |
| Mailing address | 8801 Commodity Cir, Orlando, FL 32819-9053 |
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