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

Dr. Andrew J. Thibodeaux, DDS

Individual provider General Practice Dentistry · NPI 1467597435

Dr. Andrew J. Thibodeaux, DDS is a General Practice Dentistry in San Fernando, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1058 N Maclay Ave
San Fernando, CA 91340-1326
Phone: (818) 365-4525
Fax: (818) 365-4506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 26005 (CA)

Record details

NPI number1467597435
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedFebruary 20, 2007
Last updated in NPPESJuly 8, 2007

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