Andrew R. Fletcher, D.D.S. a Professional Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43007 Issued in CA

Legal business name

ANDREW R. FLETCHER, D.D.S. A PROFESSIONAL DENTAL CORPORATION

Practice address

400 E Orangeburg Ave Ste 5
Modesto, CA 95350-5365

Phone

(209) 524-7347

NPI assigned

Feb 26, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Andrew R Fletcher

Title

President

Phone

(209) 524-7347

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1912247024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E ORANGEBURG AVE STE 5",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E ORANGEBURG AVE STE 5",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505365",
            "telephone_number": "209-524-7347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW R. FLETCHER, D.D.S. A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-524-7347",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer Andrade
• Yahaira Judith Andrade
• Andrea Marie Ewert
• Chad Andreoni, M.S., L.E.P.
• Abraham Andres
• Shirley Marie Andrew, RN, PHN
• Dara Andrews
• Deborah Andrews, RTT
• Eric Andrews, MSW
• Anesthesia Specialists Medical Group,Inc

• General Practice Dentistry in Modesto, CA
• Providers in Modesto, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.