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FL SOUTHERN DENTAL PA
NPI 1720970569
Dentist in New Smyrna Beach, FL

Active since July 16, 2025
382 N CAUSEWAY, NEW SMYRNA BEACH, FL 32169(386) 428-6468 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fl Southern Dental Pa NPPES

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

FL SOUTHERN DENTAL PA (NPI 1720970569), doing business as Mckenzie Dental Group, is a healthcare organization registered as a dentist in New Smyrna Beach, Florida and active in the NPI registry since July 2025. The organization lists Erika Melissa Menjivar, Sr. Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1720970569
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameFL SOUTHERN DENTAL PA
Location Address382 N CAUSEWAYNew Smyrna Beach, FL 32169-5233
Mailing Address5830 Granite Pkwy Ste 780Plano, TX 75024-6775
Phone(386) 428-6468
Organization SubpartYes
Authorized OfficialErika Melissa MenjivarSr. Credentialing Specialist · (469) 596-6137
Enumeration DateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
✔ NPI 1720970569 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.
382 N CAUSEWAY, New Smyrna Beach, FL 32169
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Other Names 1

Doing Business AsMckenzie Dental Group

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. JAMES DAVID MCKENZIE DDS
Dentist (General Practice)
382 N CAUSEWAY
NEW SMYRNA BEACH, FL 32169
Volusia County (386) 428-6468

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 PA's NPI number?

The NPI number for Fl Southern Dental PA is 1720970569. It was assigned to this organization in the NPPES registry on July 16, 2025. The provider is doing business as Mckenzie Dental Group.

Where is Fl Southern Dental PA located?

Fl Southern Dental PA is located at 382 N Causeway, New Smyrna Beach, FL 32169. The listed phone number is (386) 428-6468.

What is Fl Southern Dental 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 PA was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.