Individual provider · Type 1 NPI
Jorge Emilio Peralta Gonzalez, DMD
Dentist · Roxbury, MA
Practice location
16 Taber St Unit 304
Roxbury, MA 02119-4231
Mailing address
19 Kenilworth St Apt 3
Roxbury, MA 02119-1877
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Dentist Primary | 122300000X | DN10000576 (MA) |
Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…
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About NPI 1649021296
Jorge Emilio Peralta Gonzalez, DMD's National Provider Identifier is 1649021296, issued on Apr 1, 2024. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Roxbury, MA. The record was last updated on Feb 25, 2025.