DR. JOHN JAMES MAZZUOCCOLO DMD
NPI 1194088450
Dentist - Oral and Maxillofacial Surgery in Gainesville, FL

Active since June 21, 2012Opted out of Medicare · through Jul 27, 2027
ORAL AND MAXILLOFACIAL SURGERY, 1395 CENTER DRIVE, D7-6, BOX 100416, GAINESVILLE, FL 32610(352) 273-6750(352) 392-7609 Get Directions Write a Review

NPPES record last updated: February 12, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John James Mazzuoccolo Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN JAMES MAZZUOCCOLO DMD (NPI 1194088450) is an individual oral and maxillofacial surgery provider in Gainesville, Florida, licensed in Florida (DN19744) and active in the NPI registry since June 2012. He has opted out of Medicare through July 27, 2027.

NPPES Registry Identity

NPI1194088450
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JOHN JAMES MAZZUOCCOLOCredential: DMD
Location AddressORAL AND MAXILLOFACIAL SURGERY, 1395 CENTER DRIVE, D7-6, BOX 100416Gainesville, FL 32610-0416
Mailing AddressOral And Maxillofacial Surgery, 1395 Center Drive, D7-6, Box 100416Gainesville, FL 32610-0416 · (352) 273-6750 · Fax (352) 392-7609
Fax(352) 392-7609
Sole ProprietorYes
Enumeration DateJune 21, 2012
Last NPPES UpdateFebruary 12, 2013
NPI 1194088450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in FL · DN19744
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

ORAL AND MAXILLOFACIAL SURGERY, Gainesville, FL 32610

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. John James Mazzuoccolo Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 27, 2023 through July 27, 2027.

Opt-Out Effective DateJuly 27, 2023
Opt-Out In Effect ThroughJuly 27, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Mazzuoccolo's NPI number?

The NPI number for John Mazzuoccolo is 1194088450. It was assigned to this individual provider in the NPPES registry on June 21, 2012.

Where is John Mazzuoccolo located?

John Mazzuoccolo practices at Oral And Maxillofacial Surgery 1395 Center Drive, D7-6, Box 100416, Gainesville, FL 32610. The listed phone number is (352) 273-6750.

What is John Mazzuoccolo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is John Mazzuoccolo enrolled in Medicare?

No. John Mazzuoccolo has opted out of Medicare through July 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does John Mazzuoccolo accept?

Health plans from Ambetter Health, Ambetter of Alabama, BEST Life, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 11 other insurers list John Mazzuoccolo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Mazzuoccolo was last updated on February 12, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.