Andrew Dacunha, DMD, PA

Organization Active NPI General Practice Dentistry · Saint Johns, FL

NPI 1831731009 · NPPES record last updated Mar 22, 2022

Key facts

NPI
1831731009
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
ANDREW DACUNHA, DMD, PA
Practice address
71 Doctors Village Dr Ste 303
Saint Johns, FL 32259-2406
Phone
(904) 417-7400
Fax
(904) 602-9995
NPI assigned
Oct 9, 2019
Organization subpart
No

Authorized official

Name
Dr. Andrew Allen Dacunha, DMD
Title
President
Phone
(904) 417-7400

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

71 Doctors Village Dr
Ste 303
St Johns, FL 32259
Phone (904) 417-7400

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

71 Doctors Village Dr Ste 303
Saint Johns, FL 32259-2406

Mailing address

71 Doctors Village Dr Ste 303
Saint Johns, FL 32259-2406
Phone (904) 417-7400

Other names

  • St Johns Smile Care Doing business as

Other providers in Saint Johns, FL

All providers in Saint Johns, FL · General Practice Dentistry in Florida

Sources for this page

Verify at the official NPI Registry.