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DR. JOSE RICARDO BURGOS POLO D.M.D. NPI 1013903996


NPI Information

NPI: 1013903996
Provider Name: DR. JOSE RICARDO BURGOS POLO, D.M.D.
Classification: Dentist - 122300000X
Entity Type: Individual
Address:
37944 PASCO AVE
DADE CITY, FL
ZIP 33525
Phone: (352) 518-2000
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DR. Jose Ricardo Burgos Polo, D.M.D. is a dentist in Dade City, FL. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. DR. Jose Ricardo Burgos Polo, D.M.D. NPI is 1013903996. 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:

37944 PASCO AVE
DADE CITY, FL
ZIP 33525-202
Phone: (352) 518-2000

The enumeration date for this NPI number is 9/26/2005 and was last updated on 2/14/2023.


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
1122300000XDentist02586PUERTO RICONo
21223G0001XDentistGeneral PracticeDTC18FLORIDANo
3122300000XDentistDN27318FLORIDAYes

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
1003690900MEDICAIDFLORIDA
27082OTHERPUERTO RICOINTERNATIONAL MEDICAL CAR
341079BUOTHERPUERTO RICOSSS PROVIDER
470338AOTHERPUERTO RICOPREFERED MEDICAL CHOICE
5660427801F3OTHERPUERTO RICOMCS ADVANTAGE
6DTC18OTHERFLORIDAFLORIDA DENTAL TEMPORARY CERTIFICATE
7DTC-168OTHERFLORIDAFLORIDA STATE DENTAL TEMPORARY CERTIFICATE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.