Jerry Gao, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

27380 Issued in FL

Practice address

330 Colony Blvd
The Villages, FL 32162-6081

Phone

(352) 330-6344

NPI assigned

Aug 1, 2022

Last updated

Aug 1, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• RJG Dentistry, PLLC

  • General Practice Dentistry
  • The Villages, FL
  • NPI 1831921097
  NPD

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1982330957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8051 PENROSE PL",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347857769",
            "telephone_number": "609-233-4195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 COLONY BLVD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321626081",
            "telephone_number": "352-330-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAO",
        "first_name": "JERRY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "27380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gainesville Vamc
• Gainesville Vamc
• Susan Galbreath, O.T.
• William Earl Galley, MA. CCC-SLP
• Andrea Kaye Galloway, MD
• Hector L Garcia, M.D.
• Nestor Samuel Garcia, M.D.
• Henry Jerry Gardner, M.D.
• Garner Environmental Services, Inc.
• Ines Matilde Garrido, PT

• Dentist in The Villages, FL
• Providers in The Villages, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.