GARRET GONZALES DDS
NPI 1083576433
Dentist in Saint Louis, MO

Q: What is Garret Gonzales's NPI number?

The NPI number for Garret Gonzales is 1083576433. It was assigned to this individual provider in the NPPES registry on November 24, 2025.

Q: What is Garret Gonzales's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Garret Gonzales was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 24, 2025

4171 CRESCENT DR STE 102, SAINT LOUIS, MO 63129(314) 200-3880 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Garret Gonzales Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARRET GONZALES DDS (NPI 1083576433) is an individual dentist in Saint Louis, Missouri, licensed in Missouri (2025049199) and active in the NPI registry since November 2025. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1083576433

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameGARRET GONZALESCredential: DDS

Location Address4171 CRESCENT DR STE 102Saint Louis, MO 63129-3645

Mailing Address9616 Bent Pine Dr Apt ASappington, MO 63126-3346 · (208) 420-4213

Phone(314) 200-3880

Sole ProprietorNo

Enumeration DateNovember 24, 2025

NPPES CertifiedNovember 24, 2025

✔ NPI 1083576433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MO · 2025049199

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4171 CRESCENT DR STE 102, Saint Louis, MO 63129

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Secondary Practice Locations 3

Location 15712 Oakland AveSaint Louis, MO 63110-1318 · Phone (314) 200-3880

Location 21050 S 5th StSaint Charles, MO 63301-2419 · Phone (314) 200-3880

Location 314560 Manchester Rd Ste 25Manchester, MO 63011-3933 · Phone (314) 200-3880

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELICA SONG DMD

Independent Medical Examiner

4171 CRESCENT DR STE 102
SAINT LOUIS, MO 63129

St. Louis County (314) 742-8038

DR. ALEXANDER AHMADI DMD

Dentist (General Practice)

4171 CRESCENT DR STE 102
SAINT LOUIS, MO 63129

St. Louis County (314) 200-3880

DR. JORDAN ANDRADE DMD

Dentist (General Practice)

4171 CRESCENT DR STE 102
SAINT LOUIS, MO 63129

St. Louis County (314) 200-3880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Garret Gonzales's NPI number?

The NPI number for Garret Gonzales is 1083576433. It was assigned to this individual provider in the NPPES registry on November 24, 2025.

Where is Garret Gonzales located?

Garret Gonzales practices at 4171 Crescent Dr Ste 102, Saint Louis, MO 63129. The listed phone number is (314) 200-3880.

What is Garret Gonzales's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Garret Gonzales was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.