Provider Demographics
NPI:1518978790
Name:MCANDREWS, ALAN LYVOID (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:LYVOID
Last Name:MCANDREWS
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 1:4702 MISTY RIDGE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235
Mailing Address - Country:US
Mailing Address - Phone:205-769-6238
Mailing Address - Fax:205-769-6245
Practice Address - Street 1:4702 MISTY RIDGE CIR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235
Practice Address - Country:US
Practice Address - Phone:205-769-6238
Practice Address - Fax:205-769-6245
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALAL45851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51092594OtherBC/BS