Provider Demographics
NPI:1588734438
Name:NORKIN, ANDREW GREGG (DMD, MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:GREGG
Last Name:NORKIN
Suffix:
Gender:M
Credentials:DMD, MD
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Mailing Address - Street 1:2499 GLADES RD
Mailing Address - Street 2:SUITE #309
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-7209
Mailing Address - Country:US
Mailing Address - Phone:561-826-2002
Mailing Address - Fax:561-826-2003
Practice Address - Street 1:2499 GLADES RD
Practice Address - Street 2:SUITE #309
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-7209
Practice Address - Country:US
Practice Address - Phone:561-826-2002
Practice Address - Fax:561-826-2003
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLDN 173061223S0112X
FLME 95024204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
No1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery