Provider Demographics
NPI:1750554192
Name:ANDRAWES, MYRNA N (DMD)
Entity type:Individual
Prefix:DR
First Name:MYRNA
Middle Name:N
Last Name:ANDRAWES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 HALF ACRE RD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NJ
Mailing Address - Zip Code:08831
Mailing Address - Country:US
Mailing Address - Phone:609-655-7400
Mailing Address - Fax:609-655-7477
Practice Address - Street 1:219 HALF ACRE RD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NJ
Practice Address - Zip Code:08831
Practice Address - Country:US
Practice Address - Phone:609-655-7400
Practice Address - Fax:609-655-7477
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-07
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02273000122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist