Otto Gonzalez is a Dentist in Bronx, New York. Otto Gonzalez practices all healthcare services and medical treatments related to Dentist. The NPI Number for Otto Gonzalez is 1831245059. The last update date is 2007-07-08.
Otto Gonzalez's current location address is 64 Metropolitan Oval, Bronx, New York. You can contact this provider via phone number 7182397200 and fax number 7187945860. The mailing address for Otto Gonzalez is 64 Metropolitan Oval, Bronx, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Otto Gonzalez |
|---|---|
| Address | 64 Metropolitan Oval, Bronx, New York |
| Phone Number | 7182397200 |
| Fax Number | 7187945860 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1831245059 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 64 Metropolitan Oval |
|---|---|
| City | Bronx |
| State | New York (NY) |
| Post Code | 104626630 |
| Phone Number | 7182397200 |
| Fax Number | 7187945860 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 37159 |
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Definition: 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: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 762574 | NY | -- |
Post Comment/ Review Below
What is the Otto Gonzalez's unique identification number?
The Otto Gonzalez has been assigned the NPI (National Provider Identifier) Number 1831245059 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Otto Gonzalez?
The Otto Gonzalez is situated at 64 Metropolitan Oval, in the city of Bronx, state of NY, with the zip code 104626630.
What is the Otto Gonzalez's area of specialization and corresponding taxonomy classification?
The Otto Gonzalez's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1831245059 to Otto Gonzalez?
The Centers for Medicare & Medicaid Services originally issued the 1831245059 to Otto Gonzalez on 2007-01-29.
As of what date were the details pertaining to Otto Gonzalez last refreshed?
The information related to the Otto Gonzalez, including its address, specialty, and other relevant details, was last updated on 2007-07-08.