Frederick Thomas Palacios, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN20651 Issued in FL

Practice address

531 S Chickasaw TRL Ste 255
Orlando, FL 32825-7801

Phone

(407) 277-3341

Fax

(407) 613-5519

NPI assigned

Sep 15, 2008

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

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1811146806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 S CHICKASAW TRL STE 255",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328257801",
            "telephone_number": "407-277-3341",
            "fax_number": "407-613-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 S CHICKASAW TRL STE 255",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328257801",
            "telephone_number": "407-277-3341",
            "fax_number": "407-613-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALACIOS",
        "first_name": "FREDERICK",
        "middle_name": "THOMAS",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parul Pal, M.D.
• Pratik Pal
• Joanna Palacio Galindo
• Inara Milagro Alexandra Palacios Martinez, APRN
• Daniela Palacios
• Jethzebel Palacios, LMT
• Lucas Paladino, MD
• Maya D Palakal
• Tushar Palan
• Josiane Oliveira Palaoro

• General Practice Dentistry in Orlando, FL
• Providers in Orlando, 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 Apr 15, 2020; 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.