Individual provider · NPI-1

Dr. Alexis Marie Alexander, DMD

Dentist · Allentown, PA

NPI number1083172589
StatusActive
Last updated in NPPESMar 4, 2019

Details

NPI
1083172589
Entity type
Individual (NPI-1)
Name
Dr. Alexis Marie Alexander
Credential
DMD
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 4, 2019
Last updated
Mar 4, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistDS041969PAYes

Practice location

1627 Chew St
Allentown, PA 18102-3648

Phone 610-969-3955

Mailing address

5558 Fordham Ave
Harrisburg, PA 17111-3526

Phone 717-497-7329

Is something wrong?

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 Allentown, PA