Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174979991 Individual Practitioner Male Practitioner

Dr. Ricardo Carlo Carrillo , DDS

Dentist - General Practice • Winter Garden, FL

Professional Overview & Biography Verified Profile Summary

Dr. Ricardo Carrillo, DDS is a registered healthcare professional specializing in Dentist - General Practice in Winter Garden, FL. Practice services are available at 1993 DANIELS RD STE 120 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1993 Daniels Rd Ste 120

Winter Garden, FL 347874598

Telephone 4073959335
Associated Practice Facility / Clinic
🏢 Smilexp Pllc Facility NPI 1770106411

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Winter Garden, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
19 Specialists

Practicing in Winter Garden, FL (7473 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: 2021-01-11
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL 23339

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License FL 1507

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1174979991 (FL)

Secondary Practice Locations

810 W Desoto St

Clermont, FL 34711

Phone: 3523943071

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Carlos Zapata Henao , DMD

Dentist - General Practice

NPI 1003638750

Doctor of Dental Medicine

NPI 1396429452

Doctor of Dental Medicine

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Business Mailing Address January 11, 2021

Registered at 1993 DANIELS RD STE 120, WINTER GARDEN, FL 347874598 (Tel: 7033417769)

📍
Updated Practice Location May 28, 2020

Registered at 1993 DANIELS RD STE 120, WINTER GARDEN, FL 347874598 (Tel: 4073959335)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2020

Dentist (License #23339 in FL)

📍
Updated Practice Location November 14, 2018

Registered at 810 W DESOTO ST, CLERMONT, FL 34711 (Tel: 3523943071)

📍
Updated Business Mailing Address November 14, 2018

Registered at 2577 SW 83RD AVE, MIRAMAR, FL 330257411 (Tel: 7033417769)

👤
Provider Name / Credentials Updated November 14, 2018

Recorded as RICARDO CARRILLO, DDS

NPI Profile Active May 11, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2016

Registered at 750 E 25TH ST, HIALEAH, FL 330133817 (Tel: 3056945400)

📍
Updated Business Mailing Address May 11, 2016

Registered at 6170 NW 173RD ST APT 417, HIALEAH, FL 330154508 (Tel: 7033417769)

👤
Provider Name / Credentials Updated May 11, 2016

Recorded as RICARDO CARRILLO GIRALDO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2016

Student in an Organized Health Care Education/Training Program (License #1507 in FL)

🟢
Initial NPI Registration & Enumeration May 11, 2016

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: 1174979991
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2016
Last Update: January 11, 2021
Sole Proprietor: Yes

Mailing Address

1993 Daniels Rd Ste 120

Winter Garden, FL 347874598

Phone: 7033417769

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.