Kelly C. Alexander, DDS, LLC
Clinic/Center, Dental in Tallmadge, OH. Organization (NPI-2).
NPI number1760124366
StatusActive
Last updated in NPPESApr 13, 2022
Details
- NPI
- 1760124366
- Entity type
- Organization (NPI-2)
- Legal business name
- Kelly C. Alexander, DDS, LLC
- Organization subpart
- No
- Enumeration date
- Apr 13, 2022
- Certification date
- Apr 12, 2022
- Last updated
- Apr 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
193 East Ave Ste 202Tallmadge, OH 44278-2341
Phone 330-633-0324
Mailing address
6167 Burr Oak WayHudson, OH 44236-4914
Phone 330-245-6107
Authorized official
Kelly C. Alexander
Sole Member
3302456107
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 Dental Clinic/Center providers in Tallmadge, OH
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.