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SOUTHERN DENTAL LLC
NPI 1710004171
Dentist - General Practice in Ocoee, FL

Active since March 23, 2007
2560 MAGUIRE RD, OCOEE, FL 34761(407) 656-5700 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Southern Dental Llc NPPES

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

SOUTHERN DENTAL LLC (NPI 1710004171) is a healthcare organization registered as a general practice in Ocoee, Florida and active in the NPI registry since March 2007. The organization lists Cary Freeman, Insurance Counsler, as its authorized official.

NPPES Registry Identity

NPI1710004171
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTHERN DENTAL LLC
Location Address2560 MAGUIRE RDOcoee, FL 34761-4749
Mailing Address2560 Maguire RdOcoee, FL 34761-4749 · (407) 656-5700
Phone(407) 656-5700
Organization SubpartNo
Authorized OfficialCary FreemanInsurance Counsler · (407) 656-5700
Enumeration DateMarch 23, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1710004171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · DN12260
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2560 MAGUIRE RD, Ocoee, FL 34761
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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 MULTIPLE 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 Southern Dental LLC's NPI number?

The NPI number for Southern Dental LLC is 1710004171. It was assigned to this organization in the NPPES registry on March 23, 2007.

Where is Southern Dental LLC located?

Southern Dental LLC is located at 2560 Maguire Rd, Ocoee, FL 34761. The listed phone number is (407) 656-5700.

What is Southern Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Southern Dental LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.