IndividualActive
Ricardo Vidal Gonzalez
NPI 1295873479 · Periodontics · Louisville, KY
Provider details
- NPI number
- 1295873479
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 30.024338 (OH)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
Detailed profile(94/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
118 Sears Ave
Louisville, KY 40207-5014
Phone: (502) 296-7536
Street-level locationGet directions
Mailing address
3416 Hanover Ct
Louisville, KY 40207-4326
Additional practice locations (1)
- 4000 Charlestown Crossing WayNew Albany, IN 47150-8300Phone: (502) 296-7536
Registry dates
- Enumerated
- 2007-02-01
- Last updated
- 2021-12-12
- Certified
- 2021-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.