Provider Demographics
NPI:1922443902
Name:ANDRIYENKO, DENYS (DDS)
Entity type:Individual
Prefix:DR
First Name:DENYS
Middle Name:
Last Name:ANDRIYENKO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 31
Mailing Address - Street 2:
Mailing Address - City:WOODRUFF
Mailing Address - State:SC
Mailing Address - Zip Code:29388-0031
Mailing Address - Country:US
Mailing Address - Phone:864-427-9721
Mailing Address - Fax:
Practice Address - Street 1:434 N DUNCAN BYP
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:SC
Practice Address - Zip Code:29379-8604
Practice Address - Country:US
Practice Address - Phone:864-427-9721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-06
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC107181223G0001X
NC95101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice