RICARDO L VIDAL GONZALEZ NPI 1295873479

NPI Information

  • NPI: 1295873479
  • Provider Name: RICARDO L VIDAL GONZALEZ
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Individual
  • Address: 118 SEARS AVE
    LOUISVILLE, KY
    ZIP 40207
  • Phone: (502) 296-7536

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NPI Details

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
11223P0300XDentistPeriodontics30.024338OHIONo
21223P0300XDentistPeriodontics12013412AINDIANANo
31223P0300XDentistPeriodontics8281KENTUCKYYes

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: 11/21/2025

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