Kyle Gonzalez, D.D.S.

Dentist · Melbourne, FL

Individual Active NPI

NPI number 1679294326

Practice location

6455 N Wickham Rd Ste 103
Melbourne, FL 32940-2020
Phone
(321) 420-4142

Open in Google Maps

NPI record

NPI
1679294326
Entity type
Individual (Type 1)
Enumeration date
September 9, 2022
Last updated
September 9, 2022
Certified
September 7, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DN27512 FL

Mailing address

5231 NW Torino Lakes Cir
Port St Lucie, FL 34986-3238
Phone
(321) 372-8325

About Dr. Gonzalez

Kyle Gonzalez, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 6455 N Wickham Rd Ste 103, Melbourne, FL 32940-2020. The NPI number 1679294326 was assigned on September 9, 2022 and the record was last updated on September 9, 2022.

Dr. Gonzalez lists a license in the registry: #DN27512 (FL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kyle Gonzalez, D.D.S.?

The NPI number is 1679294326.

What is the phone number of Dr. Gonzalez?

The phone number listed for the practice location is (321) 420-4142.

Where is Dr. Gonzalez located?

6455 N Wickham Rd Ste 103, Melbourne, FL 32940-2020.

What is the taxonomy code for Dr. Gonzalez?

The primary taxonomy code is 122300000X – Dentist.

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.

Other Dentist providers in Melbourne

All Dentist providers in Melbourne, FL →