Provider Demographics
NPI:1407978075
Name:HARMANI, GUNJAN A (DMD)
Entity type:Individual
Prefix:DR
First Name:GUNJAN
Middle Name:A
Last Name:HARMANI
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9971 VINEYARD LAKE RD E
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-1482
Mailing Address - Country:US
Mailing Address - Phone:703-371-8437
Mailing Address - Fax:
Practice Address - Street 1:250 PALM COAST PKWY NE UNIT 606
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137-8225
Practice Address - Country:US
Practice Address - Phone:386-446-5595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL246951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice