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NPI Code Detail

MEDICARE: ANDREA FAYE SHILL

MEDICARE: ANDREA FAYE SHILL
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
1122300000XDentist00206661CO

General Provider Information

NPI Number : 1558291310
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA FAYE SHILL
Provider Business Mailing Address
First Line : 10239 E 25TH DR
Second Line :
City : AURORA
State : CO
Zip : 80010-1170
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 860 POTOMAC CIR
Second Line :
City : AURORA
State : CO
Zip : 80011-6714
Country : US
Telephone Number : 720-777-1234
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2026
Last Update Date : 05/21/2026

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Directions to “ ANDREA FAYE SHILL ” Practice Location

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