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Provider record

Jose Ricardo Burgos Polo D.M.D.

Jose Ricardo Burgos Polo D.M.D. appears in the CMS NPPES public file with a Dentist taxonomy and an individual provider record in Dade City, FL. This page keeps the listing to source-reported address, phone, taxonomy, NPI, and caveat fields.

NPI1013903996
Entity typeIndividual
Reported phone(352) 518-2000
SourceCMS NPPES

National Plan and Provider Enumeration System

Source checkedJune 3, 2026

Data pulled and checked

NPPES statusActive

Reported to NPPES

Directory statusIndependent

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We show source-reported CMS NPPES fields.

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NPI and status

Source-labeled identifiers and reported record state.

Active
NPI
1013903996
Entity type
Individual
NPPES status
Reported active
License status
Not primary-source verified

Practice location

Practice address and phone as reported in CMS NPPES.

Address
37944 Pasco Ave
Dade City, FL 33525-4202
Phone
(352) 518-2000

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Additional practice locations

NPPES reports 2 additional Florida practice locations for this NPI. This page shows up to five source-reported rows and does not map or verify these locations.

NPPES reported
1805 Hobbs Rd, Polk County Health Department Auburndale Dental ClinicAuburndale, FL 33823-4644
Phone
(863) 965-6333 ext. 10043
Source checked
May 26, 2026

CMS NPPES Data Dissemination May 2026 V2

6901 State Road 62Bowling Green, FL 33834-8976
Phone
(863) 767-3039
Source checked
May 26, 2026

CMS NPPES Data Dissemination May 2026 V2

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  2. Use the NPI number when comparing this record with CMS NPPES.
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Nearby dentists

Approximate straight-line distance from this practice location.

Taxonomy and source

Specialty taxonomy is source-reported and not a quality or license determination.

Taxonomy code
122300000X
Specialty
Dentist
Source
CMS NPPES
Last updated
May 26, 2026

Additional NPPES taxonomy rows

Other dental taxonomy entries reported to NPPES for this NPI.

1223G0001X
General Practice Dentistry
General Practice