Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154889988 Individual Practitioner Male Practitioner

Carlos Manuel Aniceto

Dentist • Winter Springs, FL

Professional Overview & Biography Verified Profile Summary

Carlos Aniceto is a registered healthcare professional specializing in Dentist in Winter Springs, FL. Practice services are available at 5285 RED BUG LAKE RD STE 105 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5285 Red Bug Lake Rd Ste 105

Winter Springs, FL 327084973

Telephone 4076964474
Fax 4076961001
Associated Practice Facility / Clinic
🏢 Coast Dental P.a. Facility NPI 1972179273

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Winter Springs, FL

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

Practicing in Winter Springs, 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: 2021-11-12
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN26160

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

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.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Emily Dao

Dentist

NPI 1003507104
NPI 1114522869
NPI 1407585490

Doctor of Dental Medicine

NPI 1528224599

Doctor of Dental Surgery

NPI 1629671581

Career & Practice History Timeline

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

13 Historical Events
👤
Provider Name / Credentials Updated November 12, 2021

Recorded as CARLOS ANICETO

👤
Provider Name / Credentials Updated August 30, 2021

Recorded as CARLOS ANICETO,, D.D.S.

👤
Provider Name / Credentials Updated July 30, 2021

Recorded as CARLOS ANICETO, DDS

📍
Updated Practice Location June 28, 2021

Registered at 5285 RED BUG LAKE RD STE 105, WINTER SPRINGS, FL 327084973 (Tel: 4076964474)

📍
Updated Business Mailing Address June 28, 2021

Registered at 983 BENNETT RD APT 201, ORLANDO, FL 328146092 (Tel: 7866629648)

👤
Provider Name / Credentials Updated June 28, 2021

Recorded as CARLOS ANICETO PARDO, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2021

Dentist (License #DN26160 in FL)

NPI Profile Active March 11, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 11, 2019

Registered at 7031 SW 62ND AVE, SOUTH MIAMI, FL 331434701 (Tel: 3052847761)

📍
Updated Business Mailing Address March 11, 2019

Registered at 7031 SW 62ND AVE, SOUTH MIAMI, FL 331434701 (Tel: 3052847761)

👤
Provider Name / Credentials Updated March 11, 2019

Recorded as CARLOS ANICETO, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 11, 2019

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: 1154889988
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 11, 2019
Last Update: November 12, 2021
Sole Proprietor: No

Mailing Address

983 Bennett Rd Apt 201

Orlando, FL 328146092

Phone: 7866629648

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.