Provider Demographics
NPI:1427180900
Name:DAO, ANDREW D (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:D
Last Name:DAO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:ANH
Other - Middle Name:D
Other - Last Name:DAO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:1114 E PIONEER PKWY STE 17
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76010-6409
Mailing Address - Country:US
Mailing Address - Phone:817-275-1800
Mailing Address - Fax:817-861-5253
Practice Address - Street 1:1114 E PIONEER PKWY STE 17
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-6409
Practice Address - Country:US
Practice Address - Phone:817-275-1800
Practice Address - Fax:817-861-5253
Is Sole Proprietor?:No
Enumeration Date:2007-03-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX178791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice