Alexander, Keith Alan

Alexander, Keith Alan is an individual health care provider with primary practice located at 30 Lyndon Rd , Fayetteville NY 13066-1016. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is his primary health care specialty. Alexander, Keith Alan can be contacted via phone (315) 460-0110.

Contact Information

Primary practice address
30 Lyndon Rd Fayetteville NY 13066-1016
Phone: (315) 460-0110
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 56884 California
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 055459 New York

Profile Details

NPI number 1083885685
LBN Legal business name Alexander, Keith Alan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2008
Last updated Aug 26th, 2015 - about 11 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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