Provider Demographics
NPI:1003165895
Name:FINGERET, ANDREW IAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:IAN
Last Name:FINGERET
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1938 BRANDYWINE ST
Mailing Address - Street 2:UNIT 3
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19130-3201
Mailing Address - Country:US
Mailing Address - Phone:215-680-2535
Mailing Address - Fax:
Practice Address - Street 1:123 OLD YORK RD
Practice Address - Street 2:SUITE 201
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-3926
Practice Address - Country:US
Practice Address - Phone:215-885-6565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-07
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS037509122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist