Provider Demographics
NPI:1427279082
Name:DREYER, ANDREW CARL (DDS)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:CARL
Last Name:DREYER
Suffix:
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 1:8605 CAMINO MEDIA
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-1355
Mailing Address - Country:US
Mailing Address - Phone:661-665-0077
Mailing Address - Fax:661-665-0009
Practice Address - Street 1:8605 CAMINO MEDIA
Practice Address - Street 2:SUITE 200
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-1355
Practice Address - Country:US
Practice Address - Phone:661-665-0077
Practice Address - Fax:661-665-0009
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2010-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE64301223P0300X
CA591271223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics