Mira Andre, DDS
Dentist · Lyons, IL
Practice location
7851 W Odgen AveLyons, IL 60534-1320
- Phone
- (708) 442-1700
- Fax
- (708) 442-2222
NPI record
- NPI
- 1215173471
- Entity type
- Individual (Type 1)
- Enumeration date
- December 18, 2008
- Last updated
- December 18, 2008
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
019020207 | IL |
Mailing address
7851 W. Ogden Ave.Lyons, IL 60534
- Phone
- (708) 442-1700
- Fax
- (708) 442-2222
About Dr. Andre
Mira Andre, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 7851 W Odgen Ave, Lyons, IL 60534-1320. The NPI number 1215173471 was assigned on December 18, 2008 and the record was last updated on December 18, 2008.
Dr. Andre lists a license in the registry: #019020207 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Mira Andre, DDS?
The NPI number is 1215173471.
What is the phone number of Dr. Andre?
The phone number listed for the practice location is (708) 442-1700.
Where is Dr. Andre located?
7851 W Odgen Ave, Lyons, IL 60534-1320.
What is the taxonomy code for Dr. Andre?
The primary taxonomy code is 122300000X – Dentist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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