Provider Demographics
NPI:1851419063
Name:ANDREWS, JOHN F JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:F
Last Name:ANDREWS
Suffix:JR
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 1:228 MIDDLE RD
Mailing Address - Street 2:
Mailing Address - City:BOOTHBAY HARBOR
Mailing Address - State:ME
Mailing Address - Zip Code:04538-1738
Mailing Address - Country:US
Mailing Address - Phone:207-633-2128
Mailing Address - Fax:207-633-2302
Practice Address - Street 1:228 MIDDLE RD
Practice Address - Street 2:
Practice Address - City:BOOTHBAY HARBOR
Practice Address - State:ME
Practice Address - Zip Code:04538-1738
Practice Address - Country:US
Practice Address - Phone:207-633-2128
Practice Address - Fax:207-633-2302
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEME3125122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist