Healthcare Provider Details

I. General information

NPI: 1497660005
Provider Name (Legal Business Name): DAVID E GONZALEZ DDS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5050 BISCAYNE BLVD STE 101
MIAMI FL
33137-3203
US

IV. Provider business mailing address

1480 NW NORTH RIVER DR APT 2002
MIAMI FL
33125-2878
US

V. Phone/Fax

Practice location:
  • Phone: 785-475-5155
  • Fax:
Mailing address:
  • Phone: 305-498-6652
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DAVID E GONZALEZ
Title or Position: DENTIST/OWNER
Credential: DDS
Phone: 305-498-6652