Luis Miguel Gonzalez DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8631 Issued in NC

Legal business name

LUIS MIGUEL GONZALEZ DDS PLLC

Practice address

3141 Capital Blvd Ste 107
Raleigh, NC 27604-3378

Phone

(919) 876-5236

NPI assigned

Jul 9, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Luis Miguel Gonzalez, DDS

Title

Dentist/Owner

Phone

(919) 876-5236

Specialties & licenses 1

Addresses

Other names 1

• 32 Dental Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1033525142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3141 CAPITAL BLVD STE 107",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276043378",
            "telephone_number": "919-876-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3141 CAPITAL BLVD STE 107",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276043378",
            "telephone_number": "919-876-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS MIGUEL GONZALEZ DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "MIGUEL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "919-876-5236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "32 Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Lueken, OTR/L
• Tara Beth Luellen, MA, LPA
• Richard Scott Luetgenau, MSW, LCSWA
• Luis Gamboa DMD PC
• Luis Marcano - Counseling and Consultation Services, PLLC
• Lawrence Linyea Luk, PA-C
• Luke K. Dalzell, DDS, PLLC
• Bethany Luke, MOTR/L
• Luminary Counseling and Consulting, LLC
• Sharmani Lumpkin

• General Practice Dentistry in Raleigh, NC
• Providers in Raleigh, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.