Individual provider Active NPI

Jillian Marie Sennello, DDS

  • Dentist
  • Lakeland, FL
National Provider Identifier
1659266468
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30357 Issued in FL
Practice address
3550 Harden Blvd Unit 101
Lakeland, FL 33803-5940
Phone
(863) 607-9030
NPI assigned
Jun 11, 2025
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30357 FL Primary

Addresses

Primary practice location

3550 Harden Blvd Unit 101
Lakeland, FL 33803-5940

Mailing address

4205 N Suwanee Ave
Tampa, FL 33603-3855
Phone (561) 215-2473

Other practice location 1

1701 S Alexander St Ste 114
Plant City, FL 33566-0965
Phone (813) 714-7558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30357FLMDDentist

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1659266468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 N SUWANEE AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033855",
            "telephone_number": "561-215-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 HARDEN BLVD UNIT 101",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338035940",
            "telephone_number": "863-607-9030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 S Alexander St Ste 114",
            "address_purpose": "LOCATION",
            "city": "Plant City",
            "state": "FL",
            "postal_code": "335660965",
            "country_code": "US",
            "telephone_number": "813-714-7558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SENNELLO",
        "first_name": "JILLIAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-11",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "30357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.