MEDICARE: ANDREA KAMEL D.M.D.

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	122300000X	Dentist	D009162	AZ

General Provider Information

NPI Number	:	1821408535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA KAMEL D.M.D.

Provider Business Mailing Address
First Line	:	4650 N CENTRAL AVE
Second Line	:	APT 366
City	:	PHOENIX
State	:	AZ
Zip	:	85012-1068
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4650 N CENTRAL AVE
Second Line	:	APT 366
City	:	PHOENIX
State	:	AZ
Zip	:	85012-1068
Country	:	US
Telephone Number	:	602-810-6334
Fax Number	:

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

Provider Enumeration Date	:	05/02/2014
Last Update Date	:	04/22/2016

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