1. Home
  2. Directory
  3. Florida
  4. Wellington
  5. Dentist
  6. NPI Profile

FL SOUTHERN DENTAL PPO PA
NPI 1437043536
Dentist in Wellington, FL

Active since June 04, 2025
12788 FOREST HILL BLVD STE 2001, WELLINGTON, FL 33414(561) 798-8023 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 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 1437043536), doing business as Wellington Smiles, is a healthcare organization registered as a dentist in Wellington, Florida and active in the NPI registry since June 2025. The organization lists Erika Melissa Menjivar, Sr. Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1437043536
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameFL SOUTHERN DENTAL PPO PA
Location Address12788 FOREST HILL BLVD STE 2001Wellington, FL 33414-4703
Mailing Address5830 Granite Pkwy Ste 780Plano, TX 75024-6775
Phone(561) 798-8023
Organization SubpartYes
Authorized OfficialErika Melissa MenjivarSr. Credentialing Specialist · (469) 596-6137
Enumeration DateJune 4, 2025
Last NPPES UpdateJune 6, 2025
NPPES CertifiedJune 6, 2025
✔ NPI 1437043536 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.
12788 FOREST HILL BLVD STE 2001, Wellington, FL 33414
Open in Google Maps ↗

Other Names 1

Doing Business AsWellington Smiles

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

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 1437043536. It was assigned to this organization in the NPPES registry on June 4, 2025. The provider is doing business as Wellington Smiles.

Where is Fl Southern Dental Ppo PA located?

Fl Southern Dental Ppo PA is located at 12788 Forest Hill Blvd Ste 2001, Wellington, FL 33414. The listed phone number is (561) 798-8023.

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 June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.