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

Gustavo Hernan Lopez Gomez

Individual provider Public Health Dentistry · NPI 1184224230

Gustavo Hernan Lopez Gomez is a Public Health Dentistry in New York, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
In the registry since
2020

Practice location Address checks out

111 Broadway Rm 1304
New York, NY 10006-1999
Phone: (212) 600-1996
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Public Health Dentistry (primary) Taxonomy 1223D0001X · Licence 062406-01 (NY)

Record details

NPI number1184224230
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 28, 2020
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026

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