Provider Demographics
NPI:1821059874
Name:ANDREWS, CONNIE M (DDS)
Entity Type:Individual
Prefix:
First Name:CONNIE
Middle Name:M
Last Name:ANDREWS
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 1:322 N MAIN ST STE 101
Mailing Address - Street 2:
Mailing Address - City:MCPHERSON
Mailing Address - State:KS
Mailing Address - Zip Code:67460-4316
Mailing Address - Country:US
Mailing Address - Phone:620-504-6187
Mailing Address - Fax:316-977-9312
Practice Address - Street 1:322 N MAIN ST STE 101
Practice Address - Street 2:
Practice Address - City:MCPHERSON
Practice Address - State:KS
Practice Address - Zip Code:67460-4316
Practice Address - Country:US
Practice Address - Phone:620-504-6187
Practice Address - Fax:316-977-9312
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-30
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS70791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice