Individual provider · Type 1 NPI
Andrew J. Thibodeaux, DDS
General Practice Dentistry · San Fernando, CA
NPI number
1467597435
Active
Practice location
1058 N Maclay Ave
San Fernando, CA 91340-1326
Fax (818) 365-4506
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 26005 (CA) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1467597435
Andrew J. Thibodeaux, DDS's National Provider Identifier is 1467597435, issued on Feb 20, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Fernando, CA. The record was last updated on Jul 8, 2007.