Jesse Elwood Andrews, DDS

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Denver, CO

NPI 1104521541 · NPPES record last updated Apr 4, 2023

Key facts

NPI
1104521541
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
660 Bannock St
Denver, CO 80204-4506
Phone
(303) 602-6000
NPI assigned
Apr 4, 2023
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Lawton Indian Hospital Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CO Yes

Addresses

Primary practice location

660 Bannock St
Denver, CO 80204-4506

Mailing address

9894 E Alabama PL Apt 105
Aurora, CO 80247-2457
Phone (217) 553-6513

Other providers in Denver, CO

All providers in Denver, CO · Student in an Organized Health Care Education/Training Program in Colorado

Sources for this page

Verify at the official NPI Registry.