Provider Demographics
NPI:1124086418
Name:DUCOTE, ANDREW DAVID (DDS)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:DAVID
Last Name:DUCOTE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:11000 ANDERSON MILL RD
Mailing Address - Street 2:#41
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-2403
Mailing Address - Country:US
Mailing Address - Phone:512-590-1723
Mailing Address - Fax:512-514-1166
Practice Address - Street 1:900 E PALM VALLEY BLVD
Practice Address - Street 2:SUITE 1012
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-3288
Practice Address - Country:US
Practice Address - Phone:512-244-3991
Practice Address - Fax:512-244-6375
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX226351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice