Dr. Andrew George Lericos, D.D.S.
Dentist in Cockeysville, MD. Individual provider (NPI-1).
NPI number1124476460
StatusActive
Last updated in NPPESMay 26, 2016
Details
- NPI
- 1124476460
- Entity type
- Individual (NPI-1)
- Name
- Dr. Andrew George Lericos
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 26, 2016
- Last updated
- May 26, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 15960 | MD | Yes |
Practice location
9727 Greenside Dr#101
Cockeysville, MD 21030-5030
Phone 410-628-0086
Mailing address
647 Washington BlvdBaltimore, MD 21230-2215
Phone 443-416-1431
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Dentist providers in Cockeysville, MD
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- Richard A Boyce, DDSNPI 1346457025
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- Brandon Michael Ford, D.D.S.NPI 1417137282
- Frederick Joseph Geating, DDSNPI 1336316066
- Robin Greenspan, D.D.S.NPI 1306028881
- Don L. Tate, D.D.S.NPI 1386788727
All 8 Dentist providers in Cockeysville · All 512 providers in Cockeysville
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