Provider Demographics
NPI:1609898477
Name:NAKISHER, ANDREA S (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:S
Last Name:NAKISHER
Suffix:
Gender:F
Credentials:DDS
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Mailing Address - Street 1:31800 NORTHWESTERN HIGHWAY
Mailing Address - Street 2:STE 360
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334
Mailing Address - Country:US
Mailing Address - Phone:248-855-4142
Mailing Address - Fax:248-855-1789
Practice Address - Street 1:31800 NORTHWESTERN HIGHWAY
Practice Address - Street 2:STE 360
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334
Practice Address - Country:US
Practice Address - Phone:248-855-4142
Practice Address - Fax:248-855-1789
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI1708601223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics