Individual provider · Type 1 NPI
Ricardo L. Vidal Gonzalez
Periodontics · Louisville, KY
NPI number
1295873479
Active
Practice location
118 Sears Ave
Louisville, KY 40207-5014
Mailing address
3416 Hanover Ct
Louisville, KY 40207-4326
Other practice locations
- 4000 Charlestown Crossing Way, New Albany, IN 47150-8300 · (502) 296-7536
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics | 1223P0300X | 30.024338 (OH) |
| Periodontics | 1223P0300X | 12013412A (IN) |
| Periodontics Primary | 1223P0300X | 8281 (KY) |
Periodontics: 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.
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- Gregory J. Albright, DMDPeriodontics Louisville, KY NPI 1013931229
- Regan L. Moore, DDSPeriodontics Louisville, KY NPI 1093853095
- Ziad Dib, DMDPeriodontics Louisville, KY NPI 1164563664
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About NPI 1295873479
Ricardo L. Vidal Gonzalez's National Provider Identifier is 1295873479, issued on Feb 1, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Louisville, KY. The record was last updated on Dec 12, 2021.