IndividualActive
Andrew Lidral, DDS PHD
NPI 1306940317 · Orthodontics and Dentofacial Orthopedics Dentistry · Rockford, MI
Provider details
- NPI number
- 1306940317
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 07539 (IA)
Practice location
158 Marcell Dr Ne
Rockford, MI 49341
Phone: (616) 866-8010
Fax: (616) 866-7401
Mailing address
158 Marcell Dr Ne
Rockford, MI 49341
Registry dates
- Enumerated
- 2006-09-11
- Last updated
- 2019-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.