OrganizationActive
Fl Southern Dental Ppo PA
NPI 1679379523 · Dentist · Winter Park, FL
Fl Southern Dental Ppo PA is a Dentist organization in Winter Park, FL (NPI 1679379523).
Provider details
- NPI number
- 1679379523
- 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
1100 N Kentucky Ave
Winter Park, FL 32789-4741
Phone: (407) 647-6261
Street-level locationGet directions
Mailing address
5830 Granite Pkwy Ste 780
Plano, TX 75024-6775
Other names (DBA / former)
- Doing business as
- Acuna Dentistry
Registry dates
- Enumerated
- 2025-02-21
- Last updated
- 2025-02-21
- Certified
- 2025-02-21
Frequently asked questions
- What is Fl Southern Dental Ppo PA's NPI number?
- Fl Southern Dental Ppo PA's National Provider Identifier (NPI) is 1679379523, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fl Southern Dental Ppo PA?
- Fl Southern Dental Ppo PA is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Fl Southern Dental Ppo PA located?
- Fl Southern Dental Ppo PA's practice location on file with NPPES is 1100 N Kentucky Ave, Winter Park, FL 32789-4741.
- What is Fl Southern Dental Ppo PA's phone number?
- The practice phone number listed in the NPPES registry for Fl Southern Dental Ppo PA is (407) 647-6261.
- Who is the authorized official for Fl Southern Dental Ppo PA?
- The authorized official listed on Fl Southern Dental Ppo PA's NPPES record is Erika Menjivar, Sr. Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fl Southern Dental Ppo PA's NPI active?
- Yes — Fl Southern Dental Ppo PA's NPI (1679379523) is active in the NPPES registry as of the last update on 2025-02-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.