MEDICARE: DR. ANDREA SYLVIA FERNANDES DMD

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	1223G0001X	General Practice Dentistry	30457	TX

General Provider Information

NPI Number	:	1669861134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREA SYLVIA FERNANDES DMD

Provider Business Mailing Address
First Line	:	3301 TIDWELL RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77093-6816
Country	:	US
Telephone Number	:	832-564-1800
Fax Number	:

Provider Business Practice Location Address
First Line	:	3301 TIDWELL RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77093-6816
Country	:	US
Telephone Number	:	832-564-1800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2015
Last Update Date	:	04/06/2026

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