Provider Demographics
NPI:1770731861
Name:PAUL Y, DA CUNHA, DMD, PC
Entity type:Organization
Organization Name:PAUL Y, DA CUNHA, DMD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:Y
Authorized Official - Last Name:DA CUNHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-262-9563
Mailing Address - Street 1:8503 PATTERSON AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-6442
Mailing Address - Country:US
Mailing Address - Phone:804-262-9563
Mailing Address - Fax:804-261-2194
Practice Address - Street 1:8503 PATTERSON AVE
Practice Address - Street 2:SUITE C
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-6442
Practice Address - Country:US
Practice Address - Phone:804-262-9563
Practice Address - Fax:804-261-2194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-03
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty