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REGENCY SQUARE DENTAL
NPI 1700949682
Dentist - General Practice in Davie, FL

Active since December 19, 2006
4789 SW 148TH AVE, SUITE #205, DAVIE, FL 33330(954) 252-5911(954) 434-8075 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Regency Square Dental NPPES

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

REGENCY SQUARE DENTAL (NPI 1700949682) is a healthcare organization registered as a general practice in Davie, Florida and active in the NPI registry since December 2006. The organization lists Reinol Antonio Gonzalez, President, as its authorized official.

NPPES Registry Identity

NPI1700949682
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameREINOL A. GONZALEZ, DMD, PA
Location Address4789 SW 148TH AVE, SUITE #205Davie, FL 33330-2119
Mailing Address4789 Sw 148th Ave, Suite #205Davie, FL 33330-2119 · (954) 252-5911 · Fax (954) 434-8075
Phone(954) 252-5911
Fax(954) 434-8075
Organization SubpartNo
Authorized OfficialReinol Antonio GonzalezPresident · (954) 252-5911
Enumeration DateDecember 19, 2006
Last NPPES UpdateApril 30, 2024
NPPES CertifiedApril 30, 2024
✔ NPI 1700949682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
4789 SW 148TH AVE, Davie, FL 33330
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Other Names 1

Doing Business AsRegency Square Dental

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Regency Square Dental is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Regency Square Dental, which bills Medicare for the services this clinician delivers.

Clinician (1)

Reinol Gonzalez, DMD
Oral Surgery
NPI 1093878043
4789 SW 148TH AVE SUITE #205
Davie, FL 33330
(954) 252-5911
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Reinol A. Gonzalez, Dmd, PA's NPI number?

The NPI number for Reinol A. Gonzalez, Dmd, PA is 1700949682. It was assigned to this organization in the NPPES registry on December 19, 2006. The provider is doing business as Regency Square Dental.

Where is Reinol A. Gonzalez, Dmd, PA located?

Reinol A. Gonzalez, Dmd, PA is located at 4789 SW 148th Ave Suite #205, Davie, FL 33330. The listed phone number is (954) 252-5911.

What is Reinol A. Gonzalez, Dmd, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Reinol A. Gonzalez, Dmd, PA enrolled in Medicare?

Yes. Reinol A. Gonzalez, Dmd, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Reinol A. Gonzalez, Dmd, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Reinol A. Gonzalez, Dmd, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Reinol A. Gonzalez, Dmd, PA was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.