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SOUTHPARK DENTAL GROUP
NPI 1093815029
Dentist in Orlando, FL

Active since September 22, 2006
8801 COMMODITY CIR, ORLANDO, FL 32819(407) 248-0100(407) 248-8364 Get Directions Write a Review

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

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Southpark Dental Group NPPES

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

SOUTHPARK DENTAL GROUP (NPI 1093815029) is a healthcare organization registered as a dentist in Orlando, Florida and active in the NPI registry since September 2006. The organization lists John F Cervenka, Owner, as its authorized official.

NPPES Registry Identity

NPI1093815029
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSOUTHPARK DENTAL GROUP
Location Address8801 COMMODITY CIROrlando, FL 32819-9053
Mailing Address8801 Commodity CirOrlando, FL 32819-9053 · (407) 248-0100 · Fax (407) 248-8364
Phone(407) 248-0100
Fax(407) 248-8364
Organization SubpartNo
Authorized OfficialJohn F CervenkaOwner · (407) 248-0100
Enumeration DateSeptember 22, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1093815029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · 14090
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.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 9168 (FL), 13762 (FL), 14238 (FL), 16360 (FL)
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X · License 12525 (FL)
8801 COMMODITY CIR, Orlando, FL 32819
Open in Google Maps ↗

Other Identifiers 1

Other836729United Concordia

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Solstice Benefits, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 7

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

DR. JOHN F CERVENKA D.D.S.
Dentist (General Practice)
8801 COMMODITY CIR
ORLANDO, FL 32819
Orange County (407) 248-0100
DR. DIANA P GOMEZ D.M.D.
Dentist (General Practice)
8801 COMMODITY CIR
ORLANDO, FL 32819
Orange County (407) 248-0100
DR. YADIRIS REITER DMD
Dentist
8801 COMMODITY CIR
ORLANDO, FL 32819
Orange County (407) 248-0100
DR. SHAUNA GAUMER COEN D.M.D.
Dentist
8801 COMMODITY CIR
ORLANDO, FL 32819
Orange County (407) 248-0100
DR. AMBER LYNN MEDELLIN DMD
Dentist (General Practice)
8801 COMMODITY CIR
ORLANDO, FL 32819
Orange County (407) 248-0100
DR. AMY E HERTZ D.M.D
Dentist (General Practice)
8801 COMMODITY CIR
ORLANDO, FL 32819
Orange County (407) 248-0100
DR. GAETANO RICARDO CAPOZZA DMD
Dentist
8801 COMMODITY CIR
ORLANDO, FL 32819
Orange County (407) 248-0100

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 Southpark Dental Group's NPI number?

The NPI number for Southpark Dental Group is 1093815029. It was assigned to this organization in the NPPES registry on September 22, 2006.

Where is Southpark Dental Group located?

Southpark Dental Group is located at 8801 Commodity Cir, Orlando, FL 32819. The listed phone number is (407) 248-0100.

What is Southpark Dental Group's specialty?

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

What insurance does Southpark Dental Group accept?

Health plans from Solstice Benefits and UnitedHealthcare list Southpark Dental Group as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southpark Dental Group was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.