Provider Demographics
NPI:1457431587
Name:DAVID E JUNCA, DDS, PA
Entity Type:Organization
Organization Name:DAVID E JUNCA, DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:E
Authorized Official - Last Name:JUNCA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, PA
Authorized Official - Phone:407-888-3384
Mailing Address - Street 1:680 S GOLDENROD RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-8108
Mailing Address - Country:US
Mailing Address - Phone:407-888-3384
Mailing Address - Fax:407-888-3575
Practice Address - Street 1:680 S GOLDENROD RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-8108
Practice Address - Country:US
Practice Address - Phone:407-888-3384
Practice Address - Fax:407-888-3575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN118271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty