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FL SOUTHERN DENTAL PPO PA
NPI 1124817754
Dentist in Davie, FL

Active since May 01, 2025
4745 SW 148TH AVE, DAVIE, FL 33330(954) 349-3449 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 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 1124817754), doing business as Davie Family Dental, is a healthcare organization registered as a dentist in Davie, Florida and active in the NPI registry since May 2025. The organization lists Erika Melissa Menjivar, Sr. Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1124817754
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameFL SOUTHERN DENTAL PPO PA
Location Address4745 SW 148TH AVEDavie, FL 33330-2126
Mailing Address5830 Granite Pkwy Ste 780Plano, TX 75024-6775
Phone(954) 349-3449
Organization SubpartYes
Authorized OfficialErika Melissa MenjivarSr. Credentialing Specialist · (469) 596-6137
Enumeration DateMay 1, 2025
NPPES CertifiedMay 1, 2025
✔ NPI 1124817754 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.
4745 SW 148TH AVE, Davie, FL 33330
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Other Names 1

Doing Business AsDavie Family Dental

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 4

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

DR. CRAIG ALAN FRIEDMAN DMD
Dentist (General Practice)
4745 SW 148TH AVE, SUITE 303
SOUTHWEST RANCHES, FL 33330
Broward County (954) 349-3449
ANTHONY SOLAGES AND INFECTIOUS DISEASE ASSOCIATES, LLC
Internal Medicine (Infectious Disease)
4745 SW 148TH AVE, 301
SOUTHWEST RANCHES, FL 33330
Broward County (954) 583-9661
OBESITY DIABETES AND METABOLISM CENTER OF SOUTH FLORIDA PA
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4745 SW 148TH AVE, 301
SOUTHWEST RANCHES, FL 33330
Broward County (954) 583-9661
FLORENCE L SOLAGES M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4745 SW 148TH AVE, #301
SOUTHWEST RANCHES, FL 33330
Broward County (954) 583-9661

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 1124817754. It was assigned to this organization in the NPPES registry on May 1, 2025. The provider is doing business as Davie Family Dental.

Where is Fl Southern Dental Ppo PA located?

Fl Southern Dental Ppo PA is located at 4745 SW 148th Ave, Davie, FL 33330. The listed phone number is (954) 349-3449.

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 May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.