Provider Demographics
NPI:1336679737
Name:TROUPES, ANDREW NICHOLAS (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:NICHOLAS
Last Name:TROUPES
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 1:8733 SUNINGHURST LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-0418
Mailing Address - Country:US
Mailing Address - Phone:704-995-2407
Mailing Address - Fax:
Practice Address - Street 1:1611 GREENFIELD ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-6455
Practice Address - Country:US
Practice Address - Phone:910-342-9210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-18
Last Update Date:2017-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10743122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist