Provider Demographics
NPI:1467834689
Name:ANDREW S. MCNEAL DDS PA
Entity Type:Organization
Organization Name:ANDREW S. MCNEAL DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:BROOKS
Authorized Official - Last Name:NEWTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-693-8922
Mailing Address - Street 1:111 E INDUSTRY DR
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27565-3559
Mailing Address - Country:US
Mailing Address - Phone:919-693-8922
Mailing Address - Fax:919-693-4444
Practice Address - Street 1:111 E INDUSTRY DR
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NC
Practice Address - Zip Code:27565-3559
Practice Address - Country:US
Practice Address - Phone:919-693-8922
Practice Address - Fax:919-693-4444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-24
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9725122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty