MEDICARE: M.ALEXANDRUNAS, D.M.D - GROVE CITY DENTAL EXPRESSIONS INC.

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	1223G0001X	General Practice Dentistry	3022273	OH

General Provider Information

NPI Number	:	1225466808
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M.ALEXANDRUNAS, D.M.D - GROVE CITY DENTAL EXPRESSIONS INC.

Provider Business Mailing Address
First Line	:	3111 COLUMBUS ST
Second Line	:	SUITE A
City	:	GROVE CITY
State	:	OH
Zip	:	43123-2762
Country	:	US
Telephone Number	:	614-871-0088
Fax Number	:	614-871-0824

Provider Business Practice Location Address
First Line	:	3111 COLUMBUS ST
Second Line	:	SUITE A
City	:	GROVE CITY
State	:	OH
Zip	:	43123-2762
Country	:	US
Telephone Number	:	614-871-0088
Fax Number	:	614-871-0824

Authorized Official
Title or Position	:	COO
Name	:	KARL ALEXANDRUNAS
Credential	:
Telephone Number	:	614-935-7677

Provider Enumeration Date	:	10/17/2013
Last Update Date	:	10/17/2013

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