IndividualActive
Mira Andre, DDS
NPI 1215173471 · Dentist · Lyons, IL
Provider details
- NPI number
- 1215173471
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 019020207 (IL)
Specialties & taxonomies
Dental Providers
Practice location
7851 W Odgen Ave
Lyons, IL 60534-1320
Phone: (708) 442-1700
Fax: (708) 442-2222
Approximate (ZIP-level) locationGet directions
Mailing address
7851 W. Ogden Ave.
Lyons, IL 60534
Registry dates
- Enumerated
- 2008-12-18
- Last updated
- 2008-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.