Priscilla Andalia, is a
Dentist - General Practice based in Joint Base Mdl, New Jersey. Priscilla Andalia is licensed to practice in Pennsylvania (license number DS042774) and her current practice location is
3458 Neely Rd, Joint Base Mdl, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(609) 754-9297.
NPI number for Priscilla Andalia is 1306467667 and her current mailing address is 317 Miller Hill Rd, Carmel, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306467667.
Healthcare Provider's Profile
| Full Name | Priscilla Andalia |
|---|
| Gender | Female |
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| Speciality | Dentist - General Practice |
|---|
| Location | 3458 Neely Rd, Joint Base Mdl, New Jersey |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1306467667
- Provider Enumeration Date: 04/28/2020
- Last Update Date: 08/31/2021
Medical Identifiers
Medical identifiers for Priscilla Andalia such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306467667 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | DS042774 (Pennsylvania) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Priscilla Andalia is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Priscilla Andalia,
317 Miller Hill Rd,
Carmel, NY 10512-3307
Ph: () - | Priscilla Andalia,
3458 Neely Rd,
Joint Base Mdl, NJ 08641-5312
Ph: (609) 754-9297 |
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