Andrews Dental Laboratories Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ANDREWS DENTAL LABORATORIES INC

Doing business as

Louisville Dental Clinic

Practice address

1338 N Chapel St
Suite 3
Louisville, OH 44641-2407

Phone

(330) 875-2222

Fax

(330) 232-9595

NPI assigned

Nov 17, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Andrew Bidde

Title

President

Phone

(330) 875-2222

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Louisville Dental Clinic Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1831595917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 N CHAPEL ST",
            "address_2": "SUITE 3",
            "city": "LOUISVILLE",
            "state": "OH",
            "postal_code": "446412407",
            "telephone_number": "330-875-2222",
            "fax_number": "330-232-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 N CHAPEL ST",
            "address_2": "SUITE 3",
            "city": "LOUISVILLE",
            "state": "OH",
            "postal_code": "446412407",
            "telephone_number": "330-875-2222",
            "fax_number": "330-232-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREWS DENTAL LABORATORIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "BIDDE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-875-2222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074285",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2037076",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louisville Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Al-Abbas (7 Pillars of Life Inc.)
• Alliance Pulmonary Associates Inc
• Altercare of Louisville Center for Rehabilitation & Nursing Care Inc
• Jeanette M Amos
• Joseph R Andrejcik, D.C.
• Malorie Anile, RDN
• Samantha Reed Anna, MSN, RN
• Jennifer Apelt, RN
• Christopher Asher
• Gloria Gay Attar, RN

• Dentist in Louisville, OH
• Providers in Louisville, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.