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NPI Code Detail

MEDICARE: DR. ALECSANDRA CONSTANTINESCU DDS

MEDICARE:  DR. ALECSANDRA  CONSTANTINESCU  DDS
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
1122300000XDentistDS036358PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000292506OTHERDENTAL BENEFIT PROVIDERS
29181870OTHERDORAL DENTAL USA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487703708
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALECSANDRA CONSTANTINESCU DDS
Provider Business Mailing Address
First Line : 432 N 6TH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19123-4004
Country : US
Telephone Number : 215-925-2400
Fax Number : 215-925-9162
Provider Business Practice Location Address
First Line : 640 SNYDER AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19148-2419
Country : US
Telephone Number : 215-334-4900
Fax Number : 215-334-9721
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2007
Last Update Date : 11/12/2019

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Directions to “ DR. ALECSANDRA CONSTANTINESCU DDS” Practice Location

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