Andrew Raymond Dwan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901016933 Issued in MI

Practice address

206 S Main St
Standish, MI 48658

Phone

(989) 846-4090

Fax

(989) 846-4160

NPI assigned

Jun 15, 2006

Last updated

Apr 24, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Standish Family Dental Center PLLC

  • Dental Clinic/Center
  • Standish, MI
  • NPI 1386345551
  NPD Authorized official

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1881638799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847",
            "address_2": "206 S MAIN ST",
            "city": "STANDISH",
            "state": "MI",
            "postal_code": "48658",
            "telephone_number": "989-846-4090",
            "fax_number": "989-846-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S MAIN ST",
            "city": "STANDISH",
            "state": "MI",
            "postal_code": "48658",
            "telephone_number": "989-846-4090",
            "fax_number": "989-846-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWAN",
        "first_name": "ANDREW",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2023-04-24",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Dewell
• Ashli Noelle Donahue, DMD
• Alicia Marie Douglas
• Bree-Ann Christine Dowd
• Morgan Ann Dufresne
• Mallori Ann Dzurka, R.D
• Elite Home Health Care, Inc (InTeliCare Health Services)
• Experience Your Eye Specialist
• Family Gastroenterology P L L C
• Emily Filhart

• General Practice Dentistry in Standish, MI
• Providers in Standish, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.