Organization Active NPI

Gozon Dental PLLC

  • Dental Clinic/Center
  • Virginia Beach, VA
National Provider Identifier
1679436083
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GOZON DENTAL PLLC
Practice address
5333 Indian River Rd
Virginia Beach, VA 23464-5320
Phone
(757) 420-1507
NPI assigned
Dec 3, 2025
Organization subpart
Yes
Parent organization
ATLANTIC DENTAL CARE PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Authorized official

Name
Dr. Raymond Gozon, DMDNPI 1265043749
Title
Dentist
Phone
(757) 687-9166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5333 Indian River Rd
Virginia Beach, VA 23464-5320

Mailing address

208 Thalia Rd
Virginia Beach, VA 23452-1857

National Provider Directory

National Provider Directory
Part of
Melvin E Cruser III DDS

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1764720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1679436083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 THALIA RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 INDIAN RIVER RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645320",
            "telephone_number": "757-420-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOZON DENTAL PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTIC DENTAL CARE PLC",
        "enumeration_date": "2025-12-03",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "GOZON",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "757-687-9166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.