Provider Demographics
NPI:1578981288
Name:NEUMAN, ANDREW J (DMD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:J
Last Name:NEUMAN
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 1:232 N SENECA ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-6023
Mailing Address - Country:US
Mailing Address - Phone:316-262-5273
Mailing Address - Fax:316-262-0133
Practice Address - Street 1:232 N SENECA ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-6023
Practice Address - Country:US
Practice Address - Phone:316-262-5273
Practice Address - Fax:316-262-0133
Is Sole Proprietor?:No
Enumeration Date:2014-03-31
Last Update Date:2017-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS61152122300000X, 1223G0001X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program