Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821832270 Individual Practitioner Male Practitioner

Jonathan Gomogda

Dentist - General Practice • Riverview, FL

Professional Overview & Biography Verified Profile Summary

Jonathan Gomogda is a registered healthcare professional specializing in Dentist - General Practice in Riverview, FL. Practice services are available at 11345 US HIGHWAY 301 S STE 104 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11345 Us Highway 301 S Ste 104

Riverview, FL 335786279

Telephone 8133679496
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Riverview, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
20 Specialists

Practicing in Riverview, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-01
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN31712

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1235023367
NPI 1598593329

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 01, 2026

Registered at 11345 US HIGHWAY 301 S STE 104, RIVERVIEW, FL 335786279 (Tel: 8133679496)

📍
Updated Business Mailing Address June 01, 2026

Registered at 11345 US HIGHWAY 301 S STE 104, RIVERVIEW, FL 335786279 (Tel: 8133679496)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2026

Dentist (License #DN31712 in FL)

NPI Profile Active June 20, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location June 20, 2024

Registered at 1 KNEELAND ST, BOSTON, MA 021111527 (Tel: 6176366828)

📍
Updated Business Mailing Address June 20, 2024

Registered at 1 KNEELAND ST, BOSTON, MA 021111527 (Tel: 6176366828)

👤
Provider Name / Credentials Updated June 20, 2024

Recorded as JONATHAN GOMOGDA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 20, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821832270
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2024
Last Update: June 01, 2026
Sole Proprietor: No

Mailing Address

11345 Us Highway 301 S Ste 104

Riverview, FL 335786279

Phone: 8133679496

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.