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

Jonathon Rivera, DMD

Individual provider Dentist · NPI 1003591215

Jonathon Rivera, DMD is a Dentist in Lake Wales, Florida. Licensed in Florida. Registered with an NPI since 2023.

Licensed in
FL
In the registry since
2023
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

701 State Road 60 E
Lake Wales, FL 33853-4240
Phone: (863) 676-6021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 28159 (FL)

Record details

NPI number1003591215
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 16, 2023
Last updated in NPPESJune 16, 2023
Certification dateJune 15, 2023
Mailing address701 State Road 60 E, Lake Wales, FL 33853-4240

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