Provider Demographics
NPI:1649251760
Name:CALHOUN, ANDREW JAMES (DMD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:JAMES
Last Name:CALHOUN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8228 HEDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-1493
Mailing Address - Country:US
Mailing Address - Phone:325-262-4050
Mailing Address - Fax:
Practice Address - Street 1:7043 SOUTHPOINT PKWY S
Practice Address - Street 2:SUITE A
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-8741
Practice Address - Country:US
Practice Address - Phone:904-296-8884
Practice Address - Fax:904-296-9582
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 166751223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics