Active NPIIndividual providerSole proprietor

Dr. Jorge R Gonzalez, DMD

Dentist, General Practice in Rock Hill, South Carolina

NPI Number1366567539
Practice location
2349 Cherry RD Ste 49, Rock Hill, SC 29732-2132
Fax
—
Last updated
November 1, 2022

Jorge R Gonzalez is a Dentist, General Practice based in Rock Hill, SC. Jorge R Gonzalez practices in Rock Hill, SC and has the professional credentials of DMD. The NPI Number for Jorge R Gonzalez is 1366567539 and holds a License No. 2232 (PR). The current practice location address for Jorge R Gonzalez is 2349 Cherry RD Ste 49, Rock Hill, SC 29732-2132 and can be reached out via phone at 803-721-9179.

Provider Profile Details

NPI Number
1366567539
Provider Name
Jorge R Gonzalez
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2349 Cherry RD Ste 49, Rock Hill, SC 29732-2132
Phone Number
803-721-9179
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
March 20, 2007
Last Update Date
November 1, 2022
Certification Date
November 1, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
2349 Cherry RD Ste 49
Rock Hill, SC 29732-2132
Zip
29732-2132
Phone Number
803-721-9179
Rock Hill, SC 29732Get directions →

Provider Business Mailing Address Details

Address
2349 Cherry RD Ste 49
Rock Hill, SC 29732-2132
City
Rock Hill
State
SC
Zip
29732-2132
Phone Number
803-721-9179

License Information

License Number (1)
2232
License State (1)
PR
Taxonomy (1)
Dentist · 122300000X
License Number (2)
34542
License State (2)
TX
Taxonomy (2)
Dentist, General Practice · 1223G0001X
License Number (3)
8609
License State (3)
SC
Taxonomy (3)
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jorge R Gonzalez, DMD?

The NPI number of Dr. Jorge R Gonzalez, DMD is 1366567539. It was assigned on March 20, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Jorge R Gonzalez, DMD?

Dr. Jorge R Gonzalez, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in PR under license number 2232.

Where does Dr. Jorge R Gonzalez, DMD practice?

The practice location is 2349 Cherry RD Ste 49, Rock Hill, SC 29732-2132. The office can be reached at 803-721-9179 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366567539 directly on the NPPES registry website.

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