Loretta Jean Andres, D.D.S.

Individual provider Active NPI General Practice Dentistry · Hyannis, MA

NPI 1124177480 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1124177480
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
16941 (MA)
Practice address
15 Cedar St
Hyannis, MA 02601-3009
Phone
(508) 790-7801
Fax
(508) 775-5607
NPI assigned
Jan 9, 2007
Sex
Female
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

State licenses

LicenseStateTypeSpecialty
16941MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly B Demarest DMD PC General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16941 MA Yes

Addresses

Primary practice location

15 Cedar St
Hyannis, MA 02601-3009

Mailing address

332 Woodside Rd
West Barnstable, MA 02668-1736
Phone (508) 420-0051

Other names

  • Dr. Lori J Andres Other name

Other providers in Hyannis, MA

All providers in Hyannis, MA · General Practice Dentistry in Massachusetts

Sources for this page

Verify at the official NPI Registry.