Healthcare Provider Details

I. General information

NPI: 1548950546
Provider Name (Legal Business Name): ALEXANDER XU DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2023
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 DIXON RD
MILPITAS CA
95035-2500
US

IV. Provider business mailing address

4383 RUSTICA CIR
FREMONT CA
94536-7907
US

V. Phone/Fax

Practice location:
  • Phone: 408-905-9888
  • Fax:
Mailing address:
  • Phone: 510-358-5118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDDS109435
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: