FLORIDA PERIODONTAL SPECIALISTS PLLC
NPI 1831043868
Dentist - Periodontics in Oxford, FL

Active since February 25, 2026
12161 COUNTY ROAD 103 STE 101, OXFORD, FL 34484(352) 259-6799 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Florida Periodontal Specialists Pllc NPPES

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

FLORIDA PERIODONTAL SPECIALISTS PLLC (NPI 1831043868) is a healthcare organization registered as a periodontics in Oxford, Florida and active in the NPI registry since February 2026. The organization lists Jennifer Heritage, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1831043868
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameFLORIDA PERIODONTAL SPECIALISTS PLLC
Location Address12161 COUNTY ROAD 103 STE 101Oxford, FL 34484-2986
Mailing Address12161 County Road 103 Ste 101Oxford, FL 34484-2986 · (352) 259-6799
Organization SubpartNo
Authorized OfficialJennifer HeritageCredentialing Manager · (402) 805-4516
Enumeration DateFebruary 25, 2026
NPPES CertifiedFebruary 25, 2026
NPI 1831043868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
12161 COUNTY ROAD 103 STE 101, Oxford, FL 34484

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.

Dentist (Periodontics)
12161 COUNTY ROAD 103 STE 101
OXFORD, FL 34484

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 Florida Periodontal Specialists PLLC's NPI number?

The NPI number for Florida Periodontal Specialists PLLC is 1831043868. It was assigned to this organization in the NPPES registry on February 25, 2026.

Where is Florida Periodontal Specialists PLLC located?

Florida Periodontal Specialists PLLC is located at 12161 County Road 103 Ste 101, Oxford, FL 34484. The listed phone number is (352) 259-6799.

What is Florida Periodontal Specialists PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Florida Periodontal Specialists PLLC was last updated on February 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.