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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ANDREW CARL LIDRAL, DDS PHD

Active

DR. ANDREW CARL LIDRAL, DDS PHD is a Orthodontics healthcare provider located in ROCKFORD, Michigan. NPI 1306940317 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · ROCKFORD, MI

Registration Details

NPI Number
1306940317
Provider Type
Individual
Gender
Male
NPI Issued
Sep 11, 2006 (19.880389362382 yrs)
Last Updated
Oct 14, 2019
Licenses
07539 (IA)
21447 (MI)

Practice Information

Address
158 MARCELL DR NE
ROCKFORD, MI, 49341
Browse MI providers · Browse ZIP 49341
Phone
6168668010
Fax
6168667401
Primary Specialty
Orthodontics
1223X0400X
Additional Specialty
Orthodontics

Other Orthodontics Providers in ROCKFORD, MI

Name Credential NPI
DR. THOMAS PATRICK WILLIAMS II D.D.S., M.CL.D. 1104915099
DR. MARK P BRIEDEN D.D.S., M.S. 1285899484
DR. JEFFREY HEINZ DDS, MSD 1275946113
DR. ALEXIS LEIGH GALLAGHER DDS, MS 1861057119
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.