| Andrews Dental Care Center, P.a. | |
|
3909 N Andrews Ave Oakland Park FL 33309-5239 | |
| (954) 561-6675 | |
| Not Available |
| Full Name | Andrews Dental Care Center, P.a. |
|---|---|
| Speciality | Dentist |
| Location | 3909 N Andrews Ave, Oakland Park, Florida |
| Authorized Official Name and Position | Marilyn P Riley (PRESIDENT/DIRECTOR) |
| Authorized Official Contact | 9545616675 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrews Dental Care Center, P.a. 3909 N Andrews Ave Oakland Park FL 33309-5239 Ph: (954) 561-6675 | Andrews Dental Care Center, P.a. 3909 N Andrews Ave Oakland Park FL 33309-5239 Ph: (954) 561-6675 |
| NPI Number | 1619277167 |
|---|---|
| Provider Enumeration Date | 11/01/2010 |
| Last Update Date | 11/01/2010 |
| Medicare PECOS PAC ID | 2163734534 |
|---|---|
| Medicare Enrollment ID | O20150629001463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619277167 | NPI | - | NPPES |
| 076272502 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN17611 (Florida) | Primary |
| Provider Name | Marilyn Riley |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1114941614 PECOS PAC ID: 3072825454 Enrollment ID: I20150629001585 |
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