Anthony X Vasconez, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28075 Issued in FL

Practice address

20301 Pleasant Plains Pkwy
Land O Lakes, FL 34637-6433

Phone

(813) 580-7003

NPI assigned

Jun 14, 2023

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1114601622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10725 MAGRATH LN",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346545888",
            "telephone_number": "954-728-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20301 PLEASANT PLAINS PKWY",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346376433",
            "telephone_number": "813-580-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASCONEZ",
        "first_name": "ANTHONY",
        "middle_name": "X",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "28075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diedre Michelle Vance-Collier, CCC-SLP
• Kathleen Marie Vanek, MSW
• Teresa Leigh Vanpelt, MA, LMHC
• Fabyana Marcal Vargas
• Daniela Maria Varona Rivero, RBT
• Jennifer Vega-Moenter
• Luis A Vega, LCSW
• Amanda Paiz Velazquez, D.M.D.
• Drew Venzeio
• Angela M Vera

• General Practice Dentistry in Land O Lakes, FL
• Providers in Land O Lakes, 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 14, 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.