OrganizationActive
Fl Southern Dental Ppo PA
NPI 1053126573 · Dentist · Aventura, FL
Provider details
- NPI number
- 1053126573
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Parent organization
- Fl Southern Dental Ppo PA
- Organization subpart
- Yes
- Authorized official
- Erika Menjivar, Sr. Credentialing Specialist(469) 596-6137
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
21355 E Dixie Hwy Ste 105
Aventura, FL 33180-1239
Phone: (305) 935-3157
Street-level locationGet directions
Mailing address
5830 Granite Pkwy Ste 780
Plano, TX 75024-6775
Other names (DBA / former)
- Doing business as
- Aventura Dental of Excellence
Registry dates
- Enumerated
- 2025-02-11
- Last updated
- 2025-02-11
- Certified
- 2025-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.