Provider Demographics
NPI:1053341164
Name:KANTER, ANDREW L (DMD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:L
Last Name:KANTER
Suffix:
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 1:26 S BRYN MAWR AVE
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-3201
Mailing Address - Country:US
Mailing Address - Phone:610-527-3110
Mailing Address - Fax:610-520-0534
Practice Address - Street 1:555 SECOND AVE STE E-100
Practice Address - Street 2:
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426-3622
Practice Address - Country:US
Practice Address - Phone:610-409-9660
Practice Address - Fax:610-409-9668
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS028977L1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA014040Q7QMedicare ID - Type Unspecified
PAU71785Medicare UPIN