Active NPI
Paul a. Palo, DMD, PA
- General Practice Dentistry
- Winter Haven, FL
National Provider Identifier
1316966385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN0012379
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Winter Haven, FL
- NPI 1083044416
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.