SOUTHPARK DENTAL GROUP – Dentist, NPI 1093815029

SOUTHPARK DENTAL GROUP is a healthcare provider. based in Orlando, Florida. specializing in Dentist. The organization holds a License No. 9168 (FL). The NPI Number for SOUTHPARK DENTAL GROUP is 1093815029

Main info

Organization
Name
SOUTHPARK DENTAL GROUP
NPI
1093815029
Phone
(407) 248-0100
Address
8801 COMMODITY CIR
Authorized Official
DR. JOHN F CERVENKA OWNER D.D.S.
Enumeration Date
22 September 2006
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:19State licenses:6Digital endpointsOther names

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Provider Addresses for SOUTHPARK DENTAL GROUP

  • CG Dentist Orlando, 8865, Commodity Circle, SouthPark, Orlando, Orange County, Florida, 32819, United States

    ORLANDO, FL 328199053

    Phone: (407) 248-0100

    Fax: (407) 248-8364

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32819)

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Reviews

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Frequently asked questions

What number should I use to identify SOUTHPARK DENTAL GROUP for billing?
Administrative and clinical systems typically use NPI 1093815029 for SOUTHPARK DENTAL GROUP.
Is SOUTHPARK DENTAL GROUP currently accepting referrals based on NPI status?
Registry metadata lists SOUTHPARK DENTAL GROUP as active.
What type of care does SOUTHPARK DENTAL GROUP provide?
SOUTHPARK DENTAL GROUP's profile centers on Dentist. Clinical services aligned with this taxonomy classification.
Can patients visit SOUTHPARK DENTAL GROUP in Orlando, Florida?
For routing, start with Orlando, Florida for SOUTHPARK DENTAL GROUP, then verify phone and hours locally.
Why is information missing for SOUTHPARK DENTAL GROUP?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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