Provider Demographics
NPI:1770752370
Name:WILLIAM F. ANDREWS,JR.DDS,PC
Entity type:Organization
Organization Name:WILLIAM F. ANDREWS,JR.DDS,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:F
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:731-423-2278
Mailing Address - Street 1:67 BOLIVAR HWY
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38301-7810
Mailing Address - Country:US
Mailing Address - Phone:731-423-2278
Mailing Address - Fax:731-424-6131
Practice Address - Street 1:67 BOLIVAR HWY
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38301-7810
Practice Address - Country:US
Practice Address - Phone:731-423-2278
Practice Address - Fax:731-424-6131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty