Alex, David M

Alex, David M is an individual health care provider with primary practice located at 1291 E Mcandrews Rd , Medford OR 97504-6103. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Alex, David M can be contacted via phone (541) 779-8923.

Contact Information

Primary practice address
1291 E Mcandrews Rd Medford OR 97504-6103
Phone: (541) 779-8923
Fax: (541) 779-9620
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 4909 Oregon
Dental Providers / Pediatric Dentistry 1223P0221X 24423 California
Dental Providers / Pediatric Dentistry 1223P0221X 5828 Iowa

Profile Details

NPI number 1932199163
LBN Legal business name Alex, David M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932199163 NPPES
Oregon Other 268299-3 STATE TAX ID

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