Provider Demographics
NPI:1831426873
Name:CONNOR, ANDREW MILLER (DDS,MS)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:MILLER
Last Name:CONNOR
Suffix:
Gender:M
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 W WHEELING ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-3708
Mailing Address - Country:US
Mailing Address - Phone:740-654-6030
Mailing Address - Fax:740-654-8119
Practice Address - Street 1:131 W WHEELING ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-3708
Practice Address - Country:US
Practice Address - Phone:740-654-6030
Practice Address - Fax:740-654-8119
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-12
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30. 0168981223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics