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Southpark Dental Group
Periodontist in Orlando, Florida
NPI 1093815029

Southpark Dental Group is a Periodontist based in Orlando, FL and is specialized in Periodontics. Southpark Dental Group practices in Orlando, FL. The NPI Number for Southpark Dental Group is 1093815029 and holds a License No. 14090 (Florida).

The current practice location address for Southpark Dental Group is 8801 Commodity Cir, Orlando, FL and can be reached out via phone at 407-248-0100 and via fax at 407-248-8364.

Location: 8801 Commodity Cir, Orlando, FL, 32819-9053
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093815029
Provider Name
Southpark Dental Group
Credential
Provider Entity Type
Organization
Address
8801 Commodity Cir, Orlando, FL, 32819-9053
Phone Number
407-248-0100
Fax Number
407-248-8364
Provider Enumeration Date
09/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
836729 01 UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
8801 Commodity Cir
City
Orlando
State
Florida
Zip
32819-9053
Phone Number
407-248-0100
Fax Number
407-248-8364
person
Provider Business Mailing Address Details
Address
8801 Commodity Cir
City
Orlando
State
Florida
Zip
32819-9053
Phone Number
407-248-0100
Fax Number
407-248-8364
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
13762 (Florida)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
9168 (Florida)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 3
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
14090 (Florida)
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.
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