Fl Southern Dental PPO PA
NPI 1437043536ActiveOrganization· Dentist· Wellington, FL
Dentist in Wellington, Florida, registered in NPPES in June 2025, part of Fl Southern Dental PPO PA. The authorized official on file is Erika Melissa Menjivar, Sr. Credentialing Specialist.
Overview
| NPI | 1437043536 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Fl Southern Dental PPO PA |
| NPI issued | Jun 4, 2025 |
| Last updated in NPPES | Jun 6, 2025 |
| Certified by provider | Jun 6, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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