John James Mazzuoccolo, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN19744 Issued in FL

Practice address

Oral and Maxillofacial Surgery
1395 Center Drive, D7-6, Box 100416
Gainesville, FL 32610-0416

Phone

(352) 273-6750

Fax

(352) 392-7609

NPI assigned

Jun 21, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 27, 2023 through Jul 27, 2027

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: jmazzuoccolo71063@direct.shands.ufl.edu

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1194088450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ORAL AND MAXILLOFACIAL SURGERY",
            "address_2": "1395 CENTER DRIVE, D7-6, BOX 100416",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100416",
            "telephone_number": "352-273-6750",
            "fax_number": "352-392-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ORAL AND MAXILLOFACIAL SURGERY",
            "address_2": "1395 CENTER DRIVE, D7-6, BOX 100416",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100416",
            "telephone_number": "352-273-6750",
            "fax_number": "352-392-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZUOCCOLO",
        "first_name": "JOHN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN19744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devin Mazotti
• Anamari Mazpule
• Saradna Mazur, LMT
• Alexandra Kendrick Pla Mazzaferro, RPSGT
• Elvio Andres Mazzotta, MD
• Sara Marie Mazzuoccolo, ARNP
• MBR Counseling & Consulting, LLC
• Mca Medical Consulting & More, PLLC
• Rachel McAhren, PT, DPT
• Allison L McAlhany, APRN

• Oral and Maxillofacial Surgery (Dentist) in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.