MEDICARE: DR. DENYS ANDRIYENKO DDS

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	10718	SC
2	1223G0001X	General Practice Dentistry	9510	NC

General Provider Information

NPI Number	:	1922443902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENYS ANDRIYENKO DDS

Provider Business Mailing Address
First Line	:	PO BOX 31
Second Line	:
City	:	WOODRUFF
State	:	SC
Zip	:	29388-0031
Country	:	US
Telephone Number	:	864-427-9721
Fax Number	:

Provider Business Practice Location Address
First Line	:	434 N DUNCAN BYP
Second Line	:
City	:	UNION
State	:	SC
Zip	:	29379-8604
Country	:	US
Telephone Number	:	864-427-9721
Fax Number	:

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

Provider Enumeration Date	:	05/06/2013
Last Update Date	:	10/15/2024

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