Provider Demographics
NPI:1538617378
Name:ARISMENDI, ANDRES III (DDS)
Entity type:Individual
Prefix:DR
First Name:ANDRES
Middle Name:
Last Name:ARISMENDI
Suffix:III
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 1:8517 FM 1826
Mailing Address - Street 2:BUILDING 1, SUITE 500
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78737
Mailing Address - Country:US
Mailing Address - Phone:512-646-4505
Mailing Address - Fax:
Practice Address - Street 1:8517 FM 1826
Practice Address - Street 2:BUILDING 1, SUITE 500
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78737
Practice Address - Country:US
Practice Address - Phone:512-646-4505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-21
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32378122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist