Provider Demographics
NPI:1780730754
Name:ANDREWS, TERRI MASSEY (DMD)
Entity type:Individual
Prefix:DR
First Name:TERRI
Middle Name:MASSEY
Last Name:ANDREWS
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 1:272 SW BENTLEY PL
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32025-6972
Mailing Address - Country:US
Mailing Address - Phone:386-963-3473
Mailing Address - Fax:
Practice Address - Street 1:272 SW BENTLEY PL
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32025-6972
Practice Address - Country:US
Practice Address - Phone:386-752-3043
Practice Address - Fax:386-755-1466
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN012647122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist