Provider Demographics
NPI:1437500832
Name:DENARDO, ANDREW HUNTER (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:HUNTER
Last Name:DENARDO
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 1:2801 WADE HAMPTON BLVD STE 118
Mailing Address - Street 2:
Mailing Address - City:TAYLORS
Mailing Address - State:SC
Mailing Address - Zip Code:29687-2758
Mailing Address - Country:US
Mailing Address - Phone:864-292-6050
Mailing Address - Fax:
Practice Address - Street 1:2801 WADE HAMPTON BLVD STE 118
Practice Address - Street 2:
Practice Address - City:TAYLORS
Practice Address - State:SC
Practice Address - Zip Code:29687
Practice Address - Country:US
Practice Address - Phone:864-292-6050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-27
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401415291122300000X
SC9261122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist