Provider Demographics
NPI:1962570275
Name:LEDERMAN-COTTON, ANDREA ROBYN (DDS)
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:ROBYN
Last Name:LEDERMAN-COTTON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:64 OLD ORCHARD CENTER
Mailing Address - Street 2:SUITE 320
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-1425
Mailing Address - Country:US
Mailing Address - Phone:847-676-3386
Mailing Address - Fax:847-676-1928
Practice Address - Street 1:64 OLD ORCHARD CENTER
Practice Address - Street 2:SUITE 320
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-1425
Practice Address - Country:US
Practice Address - Phone:847-676-3386
Practice Address - Fax:847-676-1928
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry