MEDICARE: DR. MARGARET DEGGES ALEXANDER D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	3819	LA

General Provider Information

NPI Number	:	1194710277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARGARET DEGGES ALEXANDER D.D.S.

Provider Business Mailing Address
First Line	:	2080 CHILD ST
Second Line	:	NAVAL HOSPITAL JACKSONVILLE
City	:	JACKSONVILLE
State	:	FL
Zip	:	32214-5005
Country	:	US
Telephone Number	:	904-542-7540
Fax Number	:

Provider Business Practice Location Address
First Line	:	2080 CHILD ST
Second Line	:	NAVAL HOSPITAL JACKSONVILLE
City	:	JACKSONVILLE
State	:	FL
Zip	:	32214-5005
Country	:	US
Telephone Number	:	904-542-7540
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2005
Last Update Date	:	10/16/2008

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