Provider Demographics
NPI:1598835118
Name:ANDREW, DAVID FRANKLIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:FRANKLIN
Last Name:ANDREW
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2302 S UNION AVE
Mailing Address - Street 2:BUILDING B SUITE 12
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-1300
Mailing Address - Country:US
Mailing Address - Phone:253-752-2447
Mailing Address - Fax:253-752-2448
Practice Address - Street 1:2302 S UNION AVE
Practice Address - Street 2:BUILDING B SUITE 12
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-1300
Practice Address - Country:US
Practice Address - Phone:253-752-2447
Practice Address - Fax:253-752-2448
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA45951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice