MEDICARE: NOLAN ANDREWS DDS PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

General Provider Information

NPI Number	:	1073472601
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOLAN ANDREWS DDS PA

Provider Business Mailing Address
First Line	:	535 S MAIN ST
Second Line	:
City	:	EL DORADO
State	:	KS
Zip	:	67042-3517
Country	:	US
Telephone Number	:	316-321-4222
Fax Number	:	316-321-3840

Provider Business Practice Location Address
First Line	:	535 S MAIN ST
Second Line	:
City	:	EL DORADO
State	:	KS
Zip	:	67042-3517
Country	:	US
Telephone Number	:	316-321-4222
Fax Number	:	316-321-3840

Authorized Official
Title or Position	:	OWNER
Name	:	MR. NOLAN RYAN ANDREWS
Credential	:	DDS
Telephone Number	:	308-293-0626

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

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Directions to “NOLAN ANDREWS DDS PA ” Practice Location

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