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

Jessica Gonzalez

Individual provider Pediatric Dentistry · NPI 1205406360

Jessica Gonzalez is a Pediatric Dentistry in Hialeah, Florida. Licensed in Florida and New Jersey. Registered with an NPI since 2021.

Licensed in
FL, NJ
In the registry since
2021
Specialties on file
3

Practice location Address checks out

4410 W 16th Ave Ste 52
Hialeah, FL 33012-7193
Phone: (305) 825-9899
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DN26610 (FL)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 22DI02980200 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1205406360
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 30, 2021
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025
Mailing address609 Sw 5th Ave, Fort Lauderdale, FL 33315-1023

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