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FL SOUTHERN DENTAL PPO PA
NPI 1053126573
Dentist in Aventura, FL

Active since February 11, 2025
21355 E DIXIE HWY STE 105, AVENTURA, FL 33180(305) 935-3157 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fl Southern Dental Ppo Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FL SOUTHERN DENTAL PPO PA (NPI 1053126573), doing business as Aventura Dental Of Excellence, is a healthcare organization registered as a dentist in Aventura, Florida and active in the NPI registry since February 2025. The organization lists Erika Melissa Menjivar, Sr. Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1053126573
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameFL SOUTHERN DENTAL PPO PA
Location Address21355 E DIXIE HWY STE 105Aventura, FL 33180-1239
Mailing Address5830 Granite Pkwy Ste 780Plano, TX 75024-6775
Phone(305) 935-3157
Organization SubpartYes
Authorized OfficialErika Melissa MenjivarSr. Credentialing Specialist · (469) 596-6137
Enumeration DateFebruary 11, 2025
NPPES CertifiedFebruary 11, 2025
✔ NPI 1053126573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

21355 E DIXIE HWY STE 105, Aventura, FL 33180
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Other Names 1

Doing Business AsAventura Dental Of Excellence

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LEA CHERNOFF DDS
Dentist (General Practice)
21355 E DIXIE HWY STE 105
AVENTURA, FL 33180
Miami-Dade County (305) 935-2133

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fl Southern Dental Ppo PA's NPI number?

The NPI number for Fl Southern Dental Ppo PA is 1053126573. It was assigned to this organization in the NPPES registry on February 11, 2025. The provider is doing business as Aventura Dental of Excellence.

Where is Fl Southern Dental Ppo PA located?

Fl Southern Dental Ppo PA is located at 21355 E Dixie Hwy Ste 105, Aventura, FL 33180. The listed phone number is (305) 935-3157.

What is Fl Southern Dental Ppo PA's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Fl Southern Dental Ppo PA was last updated on February 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.