Anthony South, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN28727 Issued in FL

Practice address

43522 Highway 27
Davenport, FL 33837-6812

Phone

(863) 777-9890

NPI assigned

Jun 27, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Crossroads Dental Group, LLP

  • General Practice Dentistry
  • Chandler, AZ
  • NPI 1609961309
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1629700992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W JUNIPER AVE UNIT 1135",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333973",
            "telephone_number": "952-607-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43522 HIGHWAY 27",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338376812",
            "telephone_number": "863-777-9890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2880 E Germann Rd Ste 13",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852861410",
            "country_code": "US",
            "telephone_number": "480-821-5444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUTH",
        "first_name": "ANTHONY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-27",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D011469",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN28727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soni Family Practice, PLLC
• Ambica Soni, MD
• Benjamin Soto Perez
• Oscar Manuel Soto-Torres, MCSW
• Woolly Souffrance, PT, CSCS
• Lynsey Souther, PA-C
• Cindy Spata, PA
• Speak Life Elderly Care LLC
• Special Care Transport Service LLC
• Speech Aesthetics Therapy

• Dentist in Davenport, FL
• Providers in Davenport, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.