Individual
ANDREW JOSEPH FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1795 MAIN ST, SPRINGFIELD, MA 01103-1077
(413) 733-5981
Mailing address
1795 MAIN ST, SPRINGFIELD, MA 01103-1077
(413) 733-5981
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15473
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0263303
—
MA
Enumeration date
06/11/2007
Last updated
07/08/2007
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