Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306254156 Individual Practitioner Male Practitioner

Dr. Gustavo Pardo , DDS

Dentist • Labelle, FL

Professional Overview & Biography Verified Profile Summary

Dr. Gustavo Pardo, DDS is a registered healthcare professional specializing in Dentist in Labelle, FL. Practice services are available at 930 S MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

930 S Main St

Labelle, FL 339354448

Telephone 8636750387
Fax 8636753246
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Labelle, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Labelle, FL (6414 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-09-30
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN20829

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
012768900 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Cecilia Salinas

Dental Hygienist

NPI 1063387702
Dr. Richard Ellis , DDS

Dentist - General Practice

NPI 1265537633

Doctor of Dental Surgery

Camilo Alvarado

Dental Hygienist

NPI 1295661569
Melinda Scheffer , RDH

Dental Hygienist

NPI 1679449326

Registered Dental Hygienist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Business Mailing Address September 30, 2020

Registered at PO BOX 919771, ORLANDO, FL 328919771 (Tel: 2392783600)

NPI Profile Active May 04, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 04, 2017

Registered at 930 S MAIN ST, LABELLE, FL 339354448 (Tel: 8636750387)

📍
Updated Business Mailing Address May 04, 2017

Registered at PO BOX 1357, FORT MYERS, FL 339021357 (Tel: 2392783600)

👤
Provider Name / Credentials Updated May 04, 2017

Recorded as GUSTAVO PARDO, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2017

Dentist (License #DN20829 in FL)

NPI Profile Active July 24, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 24, 2014

Registered at 4094 RAINBOW CIR, LABELLE, FL 339355414 (Tel: 8633428316)

📍
Updated Business Mailing Address July 24, 2014

Registered at 4094 RAINBOW CIR, LABELLE, FL 339355414 (Tel: 8633428316)

👤
Provider Name / Credentials Updated July 24, 2014

Recorded as GUSTAVO PARDO, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2014

Dentist (License #DN20829 in FL)

🟢
Initial NPI Registration & Enumeration July 24, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306254156
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2014
Last Update: September 30, 2020
Sole Proprietor: No

Mailing Address

Po Box 919771

Orlando, FL 328919771

Phone: 2392783600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.