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

Mauricio Gonzalez Balut, DDS, MS

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1770346843

Mauricio Gonzalez Balut, DDS, MS is an Orthodontics and Dentofacial Orthopedics Dentistry in San Bernardino, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2024
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
MS — Master of Science
A graduate science degree.

See every abbreviation used in this directory →

Practice location Address checks out

159 W Hospitality Ln Ste 100
San Bernardino, CA 92408-3348
Phone: (909) 558-4960
Show map & directions

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

Additional practice locations (1)

  • 11092 Anderson St, Loma Linda, CA 92350-1706 — (909) 558-4603

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence SP313 (CA)

Record details

NPI number1770346843
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MS
Sole proprietorYes
NPI enumeratedFebruary 1, 2024
Last updated in NPPESFebruary 1, 2024
Certification dateFebruary 1, 2024

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