Alan Andrews

Individual provider Active NPI General Practice Dentistry · Sterling, CO

NPI 1477074623 · NPPES record last updated Jun 28, 2017

Key facts

NPI
1477074623
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
00203238 (CO)
Practice address
1408 S 3Rd Ave
Sterling, CO 80751-4650
Phone
(970) 526-6544
NPI assigned
Jun 28, 2017
Sex
Male
Sole proprietor
No

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
00203238COMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 00203238 CO Yes

Addresses

Primary practice location

1408 S 3Rd Ave
Sterling, CO 80751-4650

Mailing address

13622 Garfield St Unit C
Thornton, CO 80602-8844
Phone (720) 470-2705

Other providers in Sterling, CO

All providers in Sterling, CO · General Practice Dentistry in Colorado

Sources for this page

Verify at the official NPI Registry.