Provider Demographics
NPI:1225559198
Name:MITCHELL, ANDREW STEVEN (DMD)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:STEVEN
Last Name:MITCHELL
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 BILLINGSLY CT STE 14
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-6445
Mailing Address - Country:US
Mailing Address - Phone:629-264-3364
Mailing Address - Fax:
Practice Address - Street 1:321 BILLINGSLY CT STE 14
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6445
Practice Address - Country:US
Practice Address - Phone:629-264-3364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-30
Last Update Date:2025-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY99301223X2210X, 122300000X, 1223G0001X
TN107011223X2210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X2210XDental ProvidersDentistOrofacial Pain
No122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice