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DR. ANDREW J. THIBODEAUX DDS
NPI 1467597435
Dentist - General Practice in San Fernando, CA

Active since February 20, 2007
1058 N MACLAY AVE, SAN FERNANDO, CA 91340(818) 365-4525(818) 365-4506 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Andrew J. Thibodeaux Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANDREW J. THIBODEAUX DDS (NPI 1467597435) is an individual general practice provider in San Fernando, California, licensed in California (26005) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1467597435
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ANDREW J. THIBODEAUXCredential: DDS
Location Address1058 N MACLAY AVESan Fernando, CA 91340-1326
Mailing Address1058 N Maclay AveSan Fernando, CA 91340-1326 · (818) 365-4525 · Fax (818) 365-4506
Phone(818) 365-4525
Fax(818) 365-4506
Sole ProprietorYes
Enumeration DateFebruary 20, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1467597435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 26005
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1058 N MACLAY AVE, San Fernando, CA 91340
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Thibodeaux's NPI number?

The NPI number for Andrew Thibodeaux is 1467597435. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Where is Andrew Thibodeaux located?

Andrew Thibodeaux practices at 1058 N Maclay Ave, San Fernando, CA 91340. The listed phone number is (818) 365-4525.

What is Andrew Thibodeaux's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Andrew Thibodeaux accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Andrew Thibodeaux as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrew Thibodeaux was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.