Provider Demographics
NPI:1467905851
Name:KAREN S. MCANDREW DMD,MS,PLC
Entity Type:Organization
Organization Name:KAREN S. MCANDREW DMD,MS,PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:S
Authorized Official - Last Name:MCANDREW
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MS
Authorized Official - Phone:804-741-8689
Mailing Address - Street 1:10442 PATTERSON AVE
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23238-5134
Mailing Address - Country:US
Mailing Address - Phone:804-741-8689
Mailing Address - Fax:804-741-8696
Practice Address - Street 1:10442 PATTERSON AVE
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23238-5134
Practice Address - Country:US
Practice Address - Phone:804-741-8689
Practice Address - Fax:804-741-8696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-02
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010087091223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty