Joel S Andre, D.D.S.

Individual provider Active NPI General Practice Dentistry · Crawfordsville, IN

NPI 1437199775 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1437199775
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
8294 (IN)
Practice address
510 E Market St
Crawfordsville, IN 47933-1817
Phone
(765) 362-6692
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150202001878 IN Order and Referring Only - Other (Non-Physician) 6002131638

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
8294INMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8294 IN Yes

Addresses

Primary practice location

510 E Market St
Crawfordsville, IN 47933-1817

Mailing address

510 E Market St
Crawfordsville, IN 47933-1817
Phone (765) 362-6692

Other providers in Crawfordsville, IN

All providers in Crawfordsville, IN · General Practice Dentistry in Indiana

Sources for this page

Verify at the official NPI Registry.