Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Gustavo S Ruiz de Castilla, DMD, MMSC

Individual provider Periodontics · NPI 1417178211

Dr. Gustavo S Ruiz de Castilla, DMD, MMSC is a Periodontics in Tampa, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

4129 W Kennedy Blvd Ste 1
Tampa, FL 33609-2254
Phone: (813) 289-3640
Fax: (813) 286-2241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DN 0012543 (FL)

Record details

NPI number1417178211
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , MMSC
Sole proprietorYes
NPI enumeratedMay 1, 2007
Last updated in NPPESJuly 8, 2007

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