Individual provider · Type 1 NPI

Mira Andre, DDS

Dentist · Lyons, IL

NPI number 1215173471 Active

Practice location

7851 W Odgen Ave
Lyons, IL 60534-1320

Fax (708) 442-2222

Mailing address

7851 W. Ogden Ave.
Lyons, IL 60534

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X019020207 (IL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1215173471

Mira Andre, DDS's National Provider Identifier is 1215173471, issued on Dec 18, 2008. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Lyons, IL. The record was last updated on Oct 4, 2026.