Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508430091 Individual Practitioner Male Practitioner

Dr. Jose Antonio Gonzalez , DDS

Dentist - General Practice • Oconomowoc, WI

Professional Overview & Biography Verified Profile Summary

Dr. Jose Gonzalez, DDS is a registered healthcare professional specializing in Dentist - General Practice in Oconomowoc, WI. Practice services are available at 888 THACKERAY TRL STE 214 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

888 Thackeray Trl Ste 214

Oconomowoc, WI 530664342

Telephone 2625679116
Fax 2625675870
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Oconomowoc, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
14 Specialists

Practicing in Oconomowoc, WI (2459 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-18
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WI 1002705

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1366695710

Doctor of Dental Surgery

Dr. Thomas Bitner , DDS, MS, SC

Dentist - Pediatric Dentistry

NPI 1811939077

Doctor of Dental Surgery, Master of Science, SC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location September 18, 2024

Registered at 888 THACKERAY TRL STE 214, OCONOMOWOC, WI 530664342 (Tel: 2625679116)

📍
Updated Business Mailing Address September 18, 2024

Registered at 5646 S 45TH ST, GREENFIELD, WI 532205209

👤
Provider Name / Credentials Updated September 18, 2024

Recorded as JOSE GONZALEZ, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2022

Dentist (License #1002705 in WI)

NPI Profile Active May 18, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 18, 2021

Registered at 1801 W WISCONSIN AVE, MILWAUKEE, WI 532332186 (Tel: 4142886790)

📍
Updated Business Mailing Address May 18, 2021

Registered at 1801 W WISCONSIN AVE, MILWAUKEE, WI 532332186

👤
Provider Name / Credentials Updated May 18, 2021

Recorded as JOSE GONZALEZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 18, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508430091
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 18, 2021
Last Update: September 18, 2024
Sole Proprietor: No

Mailing Address

5646 S 45th St

Greenfield, WI 532205209

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.