Provider Demographics
NPI:1336723865
Name:MCCANN, DAVID MICHAEL (DDS)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:MICHAEL
Last Name:MCCANN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 ROYAL PALMS DR
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32233-3921
Mailing Address - Country:US
Mailing Address - Phone:904-241-5342
Mailing Address - Fax:866-538-1509
Practice Address - Street 1:100 ROYAL PALMS DR
Practice Address - Street 2:
Practice Address - City:ATLANTIC BEACH
Practice Address - State:FL
Practice Address - Zip Code:32233-3921
Practice Address - Country:US
Practice Address - Phone:904-241-5342
Practice Address - Fax:866-538-1509
Is Sole Proprietor?:No
Enumeration Date:2021-05-11
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN295851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice