SOUTHERN DENTAL LLC – General Practice Dentistry, NPI 1710004171

SOUTHERN DENTAL LLC is a healthcare provider. based in Ocoee, Florida. specializing in General Practice Dentistry. The organization holds a License No. DN12260 (FL). The NPI Number for SOUTHERN DENTAL LLC is 1710004171

Main info

Organization
Name
SOUTHERN DENTAL LLC
NPI
1710004171
Phone
(407) 656-5700
Address
2560 MAGUIRE RD
Authorized Official
CARY FREEMAN INSURANCE COUNSLER
Enumeration Date
23 March 2007
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for SOUTHERN DENTAL LLC

  • 2560 MAGUIRE RD

    OCOEE, FL 347614749

    Phone: (407) 656-5700

    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 34761)

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Reviews

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Frequently asked questions

What is the registry number for SOUTHERN DENTAL LLC?
The registry entry for SOUTHERN DENTAL LLC shows NPI 1710004171.
Quick check: is SOUTHERN DENTAL LLC active?
Public NPPES data shows SOUTHERN DENTAL LLC with an active NPI status right now.
Which specialty label fits SOUTHERN DENTAL LLC?
NPPES ties SOUTHERN DENTAL LLC to General Practice Dentistry in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is SOUTHERN DENTAL LLC tied to Ocoee, Florida?
If you are local to Ocoee, Florida, SOUTHERN DENTAL LLC may be relevant to your search.
Can I export SOUTHERN DENTAL LLC's record?
You can download the official NPPES record; we summarize key fields for readability.

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