Provider Demographics
NPI:1376665836
Name:ANDREWS, RICHARD MUNFORD
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:MUNFORD
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1808 DAMON DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29505-3115
Mailing Address - Country:US
Mailing Address - Phone:843-413-1136
Mailing Address - Fax:843-413-1345
Practice Address - Street 1:101 W MARKET ST
Practice Address - Street 2:
Practice Address - City:TIMMONSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29161-1725
Practice Address - Country:US
Practice Address - Phone:843-346-7511
Practice Address - Fax:843-346-5792
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC26961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice