Provider Demographics
NPI:1518050707
Name:ANDREAS, JAMES A (DMD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:A
Last Name:ANDREAS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 BURNHAM STREET
Mailing Address - Street 2:
Mailing Address - City:TURNERS FALLS
Mailing Address - State:MA
Mailing Address - Zip Code:01376
Mailing Address - Country:US
Mailing Address - Phone:413-774-6553
Mailing Address - Fax:413-773-9502
Practice Address - Street 1:7 BURNHAM STREET
Practice Address - Street 2:
Practice Address - City:TURNERS FALLS
Practice Address - State:MA
Practice Address - Zip Code:01376
Practice Address - Country:US
Practice Address - Phone:413-774-6553
Practice Address - Fax:413-773-9502
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA138811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice