JOSEPH R DEPALO DMD NPI 1275072159

NPI Information

NPI: 1275072159
Provider Name: JOSEPH R DEPALO, DMD
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
1708 N FEDERAL HWY
LAKE WORTH, FL
ZIP 33460
Phone: (561) 944-6647
Get Directions

Joseph R Depalo, DMD is a pediatric dentistry dentist in Lake Worth, FL. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. Joseph R Depalo, DMD NPI is 1275072159. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1708 N FEDERAL HWY
LAKE WORTH, FL
ZIP 33460-668
Phone: (561) 944-6647

The enumeration date for this NPI number is 2/13/2017 and was last updated on 7/22/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		30025262	OHIO	No
2	1223P0221X	Dentist	Pediatric Dentistry	30025262	OHIO	No
3	1223P0221X	Dentist	Pediatric Dentistry	DN24713	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0274059	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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