Courtney Layne Andrews, DDS
Individual provider Active NPI General Practice Dentistry · Fountain Hills, AZ
NPI 1083063440 · NPPES record last updated Oct 10, 2024
Key facts
- NPI
- 1083063440
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D011817 (AZ)
- Practice address
- 13014 N Saguaro Blvd Ste 203
Fountain Hills, AZ 85268-3966 - Phone
- (480) 836-1551
- NPI assigned
- Jun 7, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D011817 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Dentists at Town and Country Village, PLLC | Dentist | Past |
Accepting new patients |
| Dental Services Management Corporation | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D011817 | AZ | Yes |
Addresses
Primary practice location
13014 N Saguaro Blvd Ste 203
Fountain Hills, AZ 85268-3966
Mailing address
13014 N Saguaro Blvd Ste 203
Fountain Hills, AZ 85268-3966
Phone (480) 836-1551
Other providers in Fountain Hills, AZ
- Brooke Allen
- Julie G Amos
- Brooke Alexis Anderson
- Jennifer Anderson
- Grant Andres
- Katherine Apt
- Jerrie Chandell Vales Aquino
- Gregory Archer
- Arizona Counselor PLLC
- Arizona CVS Stores LLC
All providers in Fountain Hills, AZ · General Practice Dentistry in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.