Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Andrew Carl Lidral, DDSPHD

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1306940317

Dr. Andrew Carl Lidral, DDSPHD is an Orthodontics and Dentofacial Orthopedics Dentistry in Rockford, Michigan. Licensed in Iowa and Michigan. Registered with an NPI since 2006.

Licensed in
IA, MI
In the registry since
2006
Specialties on file
2

Practice location Address checks out

158 Marcell Dr NE
Rockford, MI 49341
Phone: (616) 866-8010
Fax: (616) 866-7401
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 21447 (MI)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence 07539 (IA)

Record details

NPI number1306940317
Entity typeIndividual (Type 1)
GenderMale
Credentials DDSPHD
Sole proprietorNo
NPI enumeratedSeptember 11, 2006
Last updated in NPPESOctober 14, 2019
Mailing address158 Marcell Dr Ne, Rockford, MI 49341

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