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NPI Code Detail

MEDICARE: MR. ANDREW NARDECCHIA DDS

MEDICARE: MR. ANDREW NARDECCHIA 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
11223G0001XGeneral Practice Dentistry8940CO

General Provider Information

NPI Number : 1396807160
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANDREW NARDECCHIA DDS
Provider Business Mailing Address
First Line : 889 MAIN COURT
Second Line :
City : CARBONDALE
State : CO
Zip : 81623
Country : US
Telephone Number : 970-963-1616
Fax Number : 844-602-4638
Provider Business Practice Location Address
First Line : 889 MAIN CT
Second Line :
City : CARBONDALE
State : CO
Zip : 81623-1851
Country : US
Telephone Number : 970-963-1616
Fax Number : 844-602-4638
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2006
Last Update Date : 03/13/2025

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