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NPI Code Detail

MEDICARE: DR. ANTON GEORGE ANDREWS DMD

MEDICARE:  DR. ANTON GEORGE ANDREWS  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
11223G0001XGeneral Practice Dentistry21388MA

General Provider Information

NPI Number : 1598970139
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTON GEORGE ANDREWS DMD
Provider Business Mailing Address
First Line : 180 KENNEDY DR APT 404
Second Line :
City : MALDEN
State : MA
Zip : 02148-3439
Country : US
Telephone Number : 617-880-9989
Fax Number :
Provider Business Practice Location Address
First Line : 747 W MAIN ST
Second Line :
City : AVON
State : MA
Zip : 02322-1746
Country : US
Telephone Number : 508-587-8300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2007
Last Update Date : 07/08/2007

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Directions to “ DR. ANTON GEORGE ANDREWS DMD” Practice Location

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