Provider Demographics
NPI:1588798458
Name:FOLATKO, ANDREA HELEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:HELEN
Last Name:FOLATKO
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 1:3851 NORTHAMPTON RD
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44223-2942
Mailing Address - Country:US
Mailing Address - Phone:330-808-0473
Mailing Address - Fax:330-923-4949
Practice Address - Street 1:444 GRAHAM RD
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44221-1302
Practice Address - Country:US
Practice Address - Phone:330-923-9944
Practice Address - Fax:330-923-4949
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH214421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice