SPIRO JOHN PANTZOULAS DMD
NPI 1730397530
Dentist - Oral and Maxillofacial Surgery in Kissimmee, FL

Q: What is Spiro Pantzoulas's NPI number?

The NPI number for Spiro Pantzoulas is 1730397530. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Q: What is Spiro Pantzoulas's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Spiro Pantzoulas was last updated on May 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 18, 2007PECOS Enrolled

1096 CYPRESS PKWY, KISSIMMEE, FL 34759(407) 933-8222 Get Directions Write a Review

NPPES record last updated: May 14, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Spiro John Pantzoulas Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPIRO JOHN PANTZOULAS DMD (NPI 1730397530) is an individual oral and maxillofacial surgery provider in Kissimmee, Florida, licensed in Florida (DN17517) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730397530

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameSPIRO JOHN PANTZOULASCredential: DMD

Location Address1096 CYPRESS PKWYKissimmee, FL 34759-3328

Mailing Address926 Great Pond Dr Ste 2002Altamonte Springs, FL 32714-7244

Phone(407) 933-8222

Sole ProprietorNo

Enumeration DateMay 18, 2007

Last NPPES UpdateMay 14, 2015

✔ NPI 1730397530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in FL · DN17517

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

1096 CYPRESS PKWY, Kissimmee, FL 34759

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spiro John Pantzoulas Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34759 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EDWARD HENRY LOMBANA-CANO DMD

Dentist (General Practice)