# JOSE A. ITURREGUI, D.D.S., M.S., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962620120
- **Authorized official:** DR. JOSE A. ITURREGUI D.D.S., M.S. (PRESIDENT)
- **Authorized official phone:** (386) 775-7000

## Contact information

- **Practice address:** 177 E GRAVES AVE, SUITE A, ORANGE CITY, FL 32763-5263
- **Practice address phone:** (386) 775-7000
- **Practice address fax:** (386) 775-7019
- **Mailing address:** 177 E GRAVES AVE, SUITE A, ORANGE CITY, FL 32763-5263
- **Mailing address phone:** (386) 775-7000
- **Mailing address fax:** (386) 775-7019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DN0014097 | FL | — |
| 1223G0001X | General Practice Dentistry | DN0014097 | FL | — |
| 1223P0700X | Prosthodontics | DN0014097 | FL | Yes |

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 09/11/2025