Provider Demographics
NPI:1538418405
Name:ANDREWS, ROBERT H JR (DDS)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:H
Last Name:ANDREWS
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 FORBES STREET
Mailing Address - Street 2:SUITE 107
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401
Mailing Address - Country:US
Mailing Address - Phone:410-267-0168
Mailing Address - Fax:410-267-9343
Practice Address - Street 1:104 FORBES STREET
Practice Address - Street 2:SUITE 107
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401
Practice Address - Country:US
Practice Address - Phone:410-267-0168
Practice Address - Fax:410-267-9343
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-06
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD68991223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics