Soul Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SOUL DENTAL PLLC

Practice address

941 Tamiami TRL Ste F
Port Charlotte, FL 33953-3121

Phone

(941) 629-7779

NPI assigned

Jun 17, 2026

Organization subpart

No

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

Authorized official

Name

Oliver Guillermo Cabrera, DDSNPI 1609021682

Title

Owner

Phone

(585) 576-5864

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Oliver Guillermo Cabrera, DDS

  • Dentist
  • Port Charlotte, FL
  • NPI 1609021682
  NPD Authorized official
• Casimer James Ciborowski, DDS

  • General Practice Dentistry
  • Port Charlotte, FL
  • NPI 1902024631
  NPD (past)
• Brock Reichardt, DDS

  • General Practice Dentistry
  • Port Charlotte, FL
  • NPI 1356025209
  NPD (past)

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

{
    "created_epoch": "1781654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1740115955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 TAMIAMI TRL STE F",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339533121",
            "telephone_number": "941-629-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 TAMIAMI TRL STE F",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339533121",
            "telephone_number": "941-629-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "CABRERA",
        "authorized_official_first_name": "OLIVER",
        "authorized_official_middle_name": "GUILLERMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-576-5864",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agnes Coleen Ramos Sopoco, PT
• Celeste Sorrentino
• Gabriel A Sosa
• Edgardo Soto de la Rosa, M.D.
• Soul Care Solution LLC
• John Harvey Sours, D.C.
• South Florida Diagnostic Associates
• Southwest Florida Regional Imaging II LLC
• Southwest Florida Spine Institute PLLC
• Southwest Physical Therapy & Rehabilitation Inc

• General Practice Dentistry in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.