Anibal V Torres, D.M.D.
Individual provider Active NPI Dentist · Dundee, FL
NPI 1003920307 · NPPES record last updated Mar 15, 2023
Key facts
- NPI
- 1003920307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DN12977 (FL)
- Practice address
- 28029 Hwy 27
Dundee, FL 33838-4276 - Phone
- (863) 258-1093
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150915002607 | FL | Order and Referring Only - Oral Surgery |
8426365073 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN12977 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nelson Roberto Marques DDS PA | General Practice | Current |
Accepting new patients |
| Brausa Dental Smiles Dundee LLC | Dentist | Current |
Accepting new patients |
| Smilecrafters | General Practice | Past | Accepting new patients |
Locations
28029 Hwy 27
Dundee, FL 33838
Phone (863) 258-1093
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN12977 | FL | |
| Dentist | 122300000X | DN12977 | FL | Yes |
Addresses
Primary practice location
28029 Hwy 27
Dundee, FL 33838-4276
Mailing address
28029 Hwy 27
Dundee, FL 33838-4276
Phone (863) 258-1093
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN12977 | Other | FL | DENTAL LICENSE |
| J678755 | Other | FL | DENTEMAX PROV # |
| 64694 | Other | FL | BCBS PROVIDER |
Other providers in Dundee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.