Depalo, Joseph R

Depalo, Joseph R is an sole proprietor health care provider with primary practice located at 1708 N Federal Hwy , Lake Worth FL 33460-6668. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Depalo, Joseph R can be contacted via phone (561) 944-6647.

Contact Information

Primary practice address
1708 N Federal Hwy Lake Worth FL 33460-6668
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 30025262 Ohio
Dental Providers / Pediatric Dentistry 1223P0221X 30025262 Ohio
Dental Providers / Pediatric Dentistry 1223P0221X DN24713 Florida

Profile Details

NPI number 1275072159
LBN Legal business name Depalo, Joseph R
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2017
Last updated Jul 22nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275072159 NPPES
Ohio MEDICAID 0274059

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