Provider Demographics
NPI:1154306579
Name:ANDREWS, DAVID KIRKLAND (DDS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:KIRKLAND
Last Name:ANDREWS
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 1:1412 TROTWOOD AVE
Mailing Address - Street 2:STE. 4
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-4968
Mailing Address - Country:US
Mailing Address - Phone:931-381-8149
Mailing Address - Fax:931-381-6662
Practice Address - Street 1:1412 TROTWOOD AVE
Practice Address - Street 2:STE. 4
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-4968
Practice Address - Country:US
Practice Address - Phone:931-381-8149
Practice Address - Fax:931-381-6662
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-08
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS3670122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist