Dr. Jonathan M Nitisusanta is a Ocoee, Florida based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Jonathan M Nitisusanta is DN13138 for Dentistry in Florida. His current practice location is 2704 Rew Cir, Suite103, Ocoee. Patients can reach him at 407-877-9003.
Dr. Jonathan M Nitisusanta is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Jonathan M Nitisusanta speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1134283252
NPI Enumeration Date:
21 Dec, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jonathan M Nitisusanta are as mentioned below.
License Number
Specialization
State
Status
DN13138
Dentistry
Florida
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
10048 Brandon Cir, Orlando, Florida
Zip:
32836-3714
Phone Number:
407-877-9003
Patients can reach Dr. Jonathan M Nitisusanta at 2704 Rew Cir, Suite103, Ocoee, Florida or can call to book an appointment on 407-877-9003. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.