Fox, Andrew Joseph

Fox, Andrew Joseph is an individual health care provider with primary practice located at 1795 Main St , Springfield MA 01103-1077. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fox, Andrew Joseph can be contacted via phone (413) 733-5981.

Contact Information

Primary practice address
1795 Main St Springfield MA 01103-1077
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 15473 Massachusetts

Profile Details

NPI number 1164626602
LBN Legal business name Fox, Andrew Joseph
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164626602 NPPES
Massachusetts MEDICAID 0263303

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