Southpark Dental Group
NPI 1093815029 · Dentist · Orlando, FL
Southpark Dental Group is a Dentist organization in Orlando, FL (NPI 1093815029).
Provider details
- NPI number
- 1093815029
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- John Cervenka, Owner(407) 248-0100
- License
- 9168 (FL)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Dental Providers
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs 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
Mailing address
Registry dates
- Enumerated
- 2006-09-22
- Last updated
- 2025-09-11
Frequently asked questions
- What is Southpark Dental Group's NPI number?
- Southpark Dental Group's National Provider Identifier (NPI) is 1093815029, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southpark Dental Group?
- Southpark Dental Group is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Southpark Dental Group located?
- Southpark Dental Group's practice location on file with NPPES is 8801 Commodity Cir, Orlando, FL 32819-9053.
- What is Southpark Dental Group's phone number?
- The practice phone number listed in the NPPES registry for Southpark Dental Group is (407) 248-0100.
- Who is the authorized official for Southpark Dental Group?
- The authorized official listed on Southpark Dental Group's NPPES record is John Cervenka, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southpark Dental Group's NPI active?
- Yes — Southpark Dental Group's NPI (1093815029) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.