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General NPI Number Information
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NPI Number | 1649251760
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Entity Type | Individual
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Provider Name | ANDREW JAMES CALHOUN DMD
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Gender | Male
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Dates
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Enumeration Date | 11/07/2005
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Last Update Date | 03/26/2013
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Provider Practice Location Address
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Address Line | 7043 SOUTHPOINT PKWY S SUITE A
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City | JACKSONVILLE
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State | FL
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Zip | 32216-8741
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Country | US
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Telephone | 904-296-8884
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Fax | 904-296-9582
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Provider Business Mailing Address
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Address Line | 8228 HEDGEWOOD DR
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City | JACKSONVILLE
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State | FL
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Zip | 32216-1493
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Country | US
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Telephone | 325-262-4050
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DN 16675
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License Number State | FL
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