Jorge Julio Gonzalez Tejada, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN23322 Issued in FL

Practice address

987 N University Dr
Coral Springs, FL 33071-7048

Phone

(305) 956-8363

NPI assigned

Jul 27, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• G&G Prestige Family Dental PLLC

  • Dental Clinic/Center
  • Coral Springs, FL
  • NPI 1306727060
  NPD Authorized official

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1508343930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6936 LONG PINE CIR",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733079",
            "telephone_number": "305-956-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 N UNIVERSITY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717048",
            "telephone_number": "305-956-8363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 Evergreen Pl Ste 101",
            "address_purpose": "LOCATION",
            "city": "East Orange",
            "state": "NJ",
            "postal_code": "070182015",
            "country_code": "US",
            "telephone_number": "973-968-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ TEJADA",
        "first_name": "JORGE",
        "middle_name": "JULIO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-27",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN23322",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02719900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Gomez, MD
• Katherine Gomez
• Norma Gigliola Gomez
• Stephanie Gomez, APRN
• Zoraya A Gomez
• Janet B Gonzalez-Salas, APRN, PMHNP-BC
• Adriana Gonzalez
• Alexa Daniela Gonzalez
• Angid Gonzalez
• Cindy Gonzalez, LMT

• General Practice Dentistry in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.