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Export Provider Record NPI 1396964789
Agustin GonzalezD.D.S.
Active
NPI Number1396964789
NPI TypeNPI-1 Individual
SpecialtyDentist
Provider Details
NPI1396964789
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2007-04-24
Last Updated2007-07-08
Mailing Address3934 Sw 8th St, Suite 305
Coral Gables, FL 33134-2949
United States
Phone: (786) 552-9918 | Fax: (786) 552-9920
📍 View Map
Primary Practice Address3934 Sw 8th St, Suite 305
Coral Gables, FL 33134-2949
United States
Phone: (786) 552-9918 | Fax: (786) 552-9920
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes122300000X – DentistFLDN16727
Export Provider Record NPI 1396964789
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About NPI 1396964789

Agustin Gonzalez D.D.S. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1396964789. The primary specialty listed is Dentist. The provider is located in Coral Gables, FL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-04-24. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1396964789?

NPI 1396964789 belongs to Agustin Gonzalez D.D.S., a Dentist in Coral Gables, FL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1396964789 active?

The current status of NPI 1396964789 in the NPPES registry is Active. The record was last updated on 2007-07-08.

What specialty is NPI 1396964789?

NPI 1396964789 is classified under the taxonomy Dentist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1396964789?

You can verify NPI 1396964789 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1396964789?

The primary practice address on file for NPI 1396964789 is 3934 Sw 8th St, Coral Gables, FL 33134-2949. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1396964789 issued?

NPI 1396964789 was first issued (enumerated) on 2007-04-24. The NPPES record was last updated on 2007-07-08.

Practice Location Map

Agustin Gonzalez is located at 3934 Sw 8th St, Coral Gables, FL. Use the map below to find directions or verify the practice location.

📍 3934 Sw 8th St, Coral Gables, FL 33134-2949  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Agustin Gonzalez. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1396964789. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
DentistDN16727FL
Data Verified from CMS NPPES Last synced: 2026-08-24 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162