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NPI Code Detail

MEDICARE: DR. ANDREW J WARING DDS

MEDICARE:  DR. ANDREW J WARING  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
1122300000XDentist1178WY

General Provider Information

NPI Number : 1588850697
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW J WARING DDS
Provider Business Mailing Address
First Line : 1530 CENTENNIAL CT
Second Line :
City : CASPER
State : WY
Zip : 82609-7304
Country : US
Telephone Number : 307-265-9463
Fax Number : 307-265-3447
Provider Business Practice Location Address
First Line : 1530 CENTENNIAL CT
Second Line :
City : CASPER
State : WY
Zip : 82609-7304
Country : US
Telephone Number : 307-265-9463
Fax Number : 307-265-3447
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2007
Last Update Date : 05/28/2013

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Directions to “ DR. ANDREW J WARING DDS” Practice Location

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