Healthcare Provider Details

I. General information

NPI: 1346162542
Provider Name (Legal Business Name): ERNESTO MORALES GONZALEZ DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8677 ADDISON PLACE CIR UNIT 206
NAPLES FL
34119-7867
US

IV. Provider business mailing address

8677 ADDISON PLACE CIR UNIT 206
NAPLES FL
34119-7867
US

V. Phone/Fax

Practice location:
  • Phone: 786-403-1987
  • Fax:
Mailing address:
  • Phone: 786-403-1987
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN32342
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: