Jose Antonio Gonzalez, DDS

General Practice Dentistry · Oconomowoc, WI

Individual Active NPI

NPI number 1508430091

Practice location

888 Thackeray Trl Ste 214
Oconomowoc, WI 53066-4342
Phone
(262) 567-9116
Fax
(262) 567-5870

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NPI record

NPI
1508430091
Entity type
Individual (Type 1)
Enumeration date
May 18, 2021
Last updated
September 18, 2024
Certified
September 18, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 1002705 WI

Mailing address

5646 S 45TH St
Greenfield, WI 53220-5209

About Dr. Gonzalez

Jose Antonio Gonzalez, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 888 Thackeray Trl Ste 214, Oconomowoc, WI 53066-4342. The NPI number 1508430091 was assigned on May 18, 2021 and the record was last updated on September 18, 2024.

Dr. Gonzalez lists a license in the registry: #1002705 (WI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jose Antonio Gonzalez, DDS?

The NPI number is 1508430091.

What is the phone number of Dr. Gonzalez?

The phone number listed for the practice location is (262) 567-9116.

Where is Dr. Gonzalez located?

888 Thackeray Trl Ste 214, Oconomowoc, WI 53066-4342.

What is the taxonomy code for Dr. Gonzalez?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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