Jonathan Colucci DMD PLLC

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

JONATHAN COLUCCI DMD PLLC

Practice address

10330 N Dale Mabry Hwy Ste 150
Tampa, FL 33618-4404

Phone

(813) 692-6965

NPI assigned

Aug 2, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jonathan Colucci, DMDNPI 1982229613

Title

Owner

Phone

(630) 380-4521

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Colucci

  • Dentist
  • Winter Haven, FL
  • NPI 1982229613
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1023848256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10330 N DALE MABRY HWY STE 150",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 N DALE MABRY HWY STE 150",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184404",
            "telephone_number": "813-692-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN COLUCCI DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "COLUCCI",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-380-4521",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Jokisch, MD
• Aislinn Jolicoeur
• Tonya Michelle Jolly, PNP-AC
• Maria Isabel Jomarron Aguilar
• Jonathan Alvior MD LLC
• Jonathan D Forman MD PA
• Joneleen LLC
• Jonequa Baker Homemaker and Companion Services
• Sarah A. Jones Sapienza, MD
• Ingrid C Jones-Ince, M.D.

• Public Health Dentistry in Tampa, FL
• Providers in Tampa, FL by specialty
• Public Health Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.