MEDICARE: NC ANDREWS DMD PA

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

General Provider Information

NPI Number	:	1881715258
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NC ANDREWS DMD PA

Provider Business Mailing Address
First Line	:	14309 CANTRELL RD
Second Line	:	STE. 6
City	:	LITTLE ROCK
State	:	AR
Zip	:	72223-4217
Country	:	US
Telephone Number	:	501-228-6360
Fax Number	:

Provider Business Practice Location Address
First Line	:	14309 CANTRELL RD
Second Line	:	STE. 6
City	:	LITTLE ROCK
State	:	AR
Zip	:	72223-4217
Country	:	US
Telephone Number	:	501-228-6360
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. NC ANDREWS ANDREWS
Credential	:
Telephone Number	:	501-228-6360

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	08/22/2020

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