Individual provider · Type 1 NPI
Andrew Koran Iii, DDS, M.S.
Prosthodontics · Dexter, MI
NPI number
1710130174
Active
Practice location
7346 Park Lake Dr
Dexter, MI 48130-9616
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthodontics Primary | 1223P0700X | 2901008852 (MI) |
Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
About NPI 1710130174
Andrew Koran Iii, DDS, M.S.'s National Provider Identifier is 1710130174, issued on Oct 29, 2008. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Dexter, MI. The record was last updated on Oct 29, 2008.