Provider Demographics
NPI:1811303530
Name:D'ANTUONO, KAREN (DDS)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:D'ANTUONO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19651 BRUCE B DOWNS BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2445
Mailing Address - Country:US
Mailing Address - Phone:813-957-5887
Mailing Address - Fax:813-971-8064
Practice Address - Street 1:19651 BRUCE B DOWNS BLVD STE A
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-2445
Practice Address - Country:US
Practice Address - Phone:813-957-5887
Practice Address - Fax:813-971-8064
Is Sole Proprietor?:No
Enumeration Date:2014-07-02
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN20652122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist