Provider Demographics
NPI:1487825329
Name:ANDREWS, DAVID K (DDS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:K
Last Name:ANDREWS
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 1:9167 N COUNTY ROAD 25A
Mailing Address - Street 2:
Mailing Address - City:PIQUA
Mailing Address - State:OH
Mailing Address - Zip Code:45356-9521
Mailing Address - Country:US
Mailing Address - Phone:937-773-5982
Mailing Address - Fax:937-773-6682
Practice Address - Street 1:9167 N COUNTY ROAD 25A
Practice Address - Street 2:
Practice Address - City:PIQUA
Practice Address - State:OH
Practice Address - Zip Code:45356-9521
Practice Address - Country:US
Practice Address - Phone:937-773-5982
Practice Address - Fax:937-773-6682
Is Sole Proprietor?:No
Enumeration Date:2008-03-19
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-018741122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist