Paul A Palo, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN12379 Issued in FL

Practice address

151 Avenue F NW
Winter Haven, FL 33881-4132

Phone

(863) 294-7605

Fax

(863) 291-8440

NPI assigned

Nov 21, 2013

Last updated

Nov 21, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Paul a. Palo, DMD, PA

  • General Practice Dentistry
  • Winter Haven, FL
  • NPI 1316966385
  NPD (past) Authorized official
• Dynamic Dental Health Associates of Florida

  dba Paul A. Palo, DMD

  • General Practice Dentistry
  • Winter Haven, FL
  • NPI 1417384975
  NPD (past)
• Dynamic Dental Health Associates of Florida PA

  dba The Gentle Dentist

  • General Practice Dentistry
  • Spring Hill, FL
  • NPI 1679918460
  NPD (past)
• Dynamic Dental Health Associates of Florida, PA

  dba Northwest Family Dental

  • General Practice Dentistry
  • Gainesville, FL
  • NPI 1487067344
  NPD (past)

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

{
    "created_epoch": "1384992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1083044416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 AVENUE F NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814132",
            "telephone_number": "863-294-7605",
            "fax_number": "863-291-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 AVENUE F NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814132",
            "telephone_number": "863-294-7605",
            "fax_number": "863-291-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALO",
        "first_name": "PAUL",
        "middle_name": "A",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-21",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN12379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sharon Diane Palmerton, DC
• George Harry Panagopoulos, DC
• Paragon Emergency Services LLC
• Andrew Werner Parish, LMHC
• Lili A Parish, LMHC
• Ilmoon Park, DMD

• General Practice Dentistry in Winter Haven, FL
• Providers in Winter Haven, 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 Nov 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.