Organization Active NPI

Paul a. Palo, DMD, PA

  • General Practice Dentistry
  • Winter Haven, FL
National Provider Identifier
1316966385
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN0012379 Issued in FL
Legal business name
PAUL A. PALO, DMD, PA
Practice address
151 Avenue F NW
Winter Haven, FL 33881-4132
Phone
(863) 294-7605
Fax
(863) 291-8440
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2009

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

Authorized official

Name
Dr. Paul Allen Palo, D.M.D.NPI 1083044416
Title
Ceo
Phone
(863) 294-7605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN0012379 FL Primary

Addresses

Primary practice location

151 Avenue F NW
Winter Haven, FL 33881-4132

Mailing address

151 Avenue F NW
Winter Haven, FL 33881-4132
Phone (863) 294-7605

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1316966385",
    "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": {
        "organization_name": "PAUL A. PALO, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "PALO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "863-294-7605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0012379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.