Paul R Kolodziej, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN19514 Issued in FL

Practice address

40545 US Highway 19 N Ste G
Tarpon Springs, FL 34689-4818

Phone

(727) 940-9055

NPI assigned

Aug 3, 2011

Last updated

Sep 4, 2025By the provider in NPPES

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

Other names 1

• Paul R Kolodziej Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1417235847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1062",
            "city": "ELFERS",
            "state": "FL",
            "postal_code": "346801062",
            "telephone_number": "954-684-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40545 US HIGHWAY 19 N STE G",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346894818",
            "telephone_number": "727-940-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLODZIEJ",
        "first_name": "PAUL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-03",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "KOLODZIEJ",
            "middle_name": "R",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Anastasia Knecht, APRN
• Christina Knowles, LCSW
• Bryan Koesler, PSY.D.
• Rodamanthos Nicholas Kokolis, MD
• Ashley Kolb, RN
• Emanuel Kontos, DMD
• Sandor Kriston, PHARMD
• Teresa Kriston, RDH
• Rhonda Kuhle, HAS
• Gajanan A Kulkarni, MD

• Dentist in Tarpon Springs, FL
• Providers in Tarpon Springs, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.