RICARDO L VIDAL GONZALEZ NPI 1295873479

NPI Information

NPI: 1295873479
Provider Name: RICARDO L VIDAL GONZALEZ
Classification: Dentist - 1223P0300X
Entity Type: Individual

Specialization: Periodontics

Address:
118 SEARS AVE
LOUISVILLE, KY
ZIP 40207
Phone: (502) 296-7536
Get Directions

Ricardo L Vidal Gonzalez is a periodontics dentist in Louisville, KY. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. Ricardo L Vidal Gonzalez NPI is 1295873479. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

118 SEARS AVE
LOUISVILLE, KY
ZIP 40207-014
Phone: (502) 296-7536

The enumeration date for this NPI number is 2/1/2007 and was last updated on 12/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0300X	Dentist	Periodontics	30.024338	OHIO	No
2	1223P0300X	Dentist	Periodontics	12013412A	INDIANA	No
3	1223P0300X	Dentist	Periodontics	8281	KENTUCKY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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