Dr. Alex Edgerly, D.D.S.
Dentist in Port Arthur, TX. Individual provider (NPI-1).
NPI number1982134011
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1982134011
- Entity type
- Individual (NPI-1)
- Name
- Dr. Alex Edgerly
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 12, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 32908 | TX | Yes |
Practice location
3140 Central Mall DrPort Arthur, TX 77642-8039
Phone 409-727-2164
Mailing address
3140 Central Mall DrPort Arthur, TX 77642-8039
Phone 409-727-2164
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