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

Ricardo L Vidal Gonzalez

Individual provider Periodontics · NPI 1295873479

Ricardo L Vidal Gonzalez is a Periodontics in Louisville, Kentucky. Works from 2 locations. Licensed in Indiana, Kentucky and Ohio.

Licensed in
IN, KY, OH
In the registry since
2007
Specialties on file
3
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Practice location Address checks out

118 Sears Ave
Louisville, KY 40207-5014
Phone: (502) 296-7536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4000 Charlestown Crossing Way, New Albany, IN 47150-8300 — (502) 296-7536

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 8281 (KY)
Periodontics Taxonomy 1223P0300X · Licence 30.024338 (OH)
Periodontics Taxonomy 1223P0300X · Licence 12013412A (IN)

Record details

NPI number1295873479
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 1, 2007
Last updated in NPPESDecember 12, 2021
Certification dateDecember 12, 2021

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