Provider Demographics
NPI:1548617673
Name:SAUERWEIN, ANDREA (DDS)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:SAUERWEIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4131 WYCLIFF AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-3064
Mailing Address - Country:US
Mailing Address - Phone:409-748-0937
Mailing Address - Fax:
Practice Address - Street 1:9850 WALNUT HILL LN STE 423
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238-2012
Practice Address - Country:US
Practice Address - Phone:469-676-0041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-18
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX327501223G0001X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice