Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jonathan M Nitisusanta, DDS

Individual provider Dentist · NPI 1134283252

Dr. Jonathan M Nitisusanta, DDS is a Dentist in Ocoee, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2704 Rew Cir SUITE103
Ocoee, FL 34761-2994
Phone: (407) 877-9003
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN13138 (FL)

Record details

NPI number1134283252
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedDecember 21, 2006
Last updated in NPPESJuly 8, 2007
Mailing address10048 Brandon Cir, Orlando, FL 32836-3714

Other providers in Ocoee