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Alexander Kiel Flora, DDS

Student in an Organized Health Care Education/Training Program in Woodruff, WI. Individual provider (NPI-1).

NPI number1669961827
StatusActive
Last updated in NPPESMay 3, 2018

Details

NPI
1669961827
Entity type
Individual (NPI-1)
Name
Alexander Kiel Flora
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
May 3, 2018
Last updated
May 3, 2018

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 codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1025 3rd Ave
Woodruff, WI 54568-9492

Phone 715-356-2777

Mailing address

N15805 Perch Rd
Park Falls, WI 54552-8251

Phone 715-820-0201

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 Student in an Organized Health Care Education/Training Program providers in Woodruff, WI

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