OrganizationActive
Southern Dental LLC
NPI 1710004171 · General Practice Dentistry · Ocoee, FL
Southern Dental LLC is a General Practice Dentistry organization in Ocoee, FL (NPI 1710004171).
Provider details
- NPI number
- 1710004171
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Cary Freeman, Insurance Counsler(407) 656-5700
- License
- DN12260 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2560 Maguire Rd
Ocoee, FL 34761-4749
Phone: (407) 656-5700
Street-level locationGet directions
Mailing address
2560 Maguire Rd
Ocoee, FL 34761-4749
Registry dates
- Enumerated
- 2007-03-23
- Last updated
- 2020-08-22
Frequently asked questions
- What is Southern Dental LLC's NPI number?
- Southern Dental LLC's National Provider Identifier (NPI) is 1710004171, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Dental LLC?
- Southern Dental LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Southern Dental LLC located?
- Southern Dental LLC's practice location on file with NPPES is 2560 Maguire Rd, Ocoee, FL 34761-4749.
- What is Southern Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Dental LLC is (407) 656-5700.
- Who is the authorized official for Southern Dental LLC?
- The authorized official listed on Southern Dental LLC's NPPES record is Cary Freeman, Insurance Counsler. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Dental LLC's NPI active?
- Yes — Southern Dental LLC's NPI (1710004171) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.