Provider Demographics
NPI:1306104351
Name:PARSONS, ANDREA MIER (DDS)
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:MIER
Last Name:PARSONS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1616 CAPE CORAL PKWY W STE 115
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33914-6973
Mailing Address - Country:US
Mailing Address - Phone:239-549-7771
Mailing Address - Fax:239-549-1483
Practice Address - Street 1:1616 CAPE CORAL PKWY W STE 115
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33914-6973
Practice Address - Country:US
Practice Address - Phone:239-549-7771
Practice Address - Fax:239-549-1483
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-27
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN19883122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist