Provider Demographics
NPI:1881715258
Name:NC ANDREWS DMD PA
Entity type:Organization
Organization Name:NC ANDREWS DMD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NC ANDREWS
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-228-6360
Mailing Address - Street 1:14309 CANTRELL RD
Mailing Address - Street 2:STE. 6
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-4217
Mailing Address - Country:US
Mailing Address - Phone:501-228-6360
Mailing Address - Fax:
Practice Address - Street 1:14309 CANTRELL RD
Practice Address - Street 2:STE. 6
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223-4217
Practice Address - Country:US
Practice Address - Phone:501-228-6360
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty