Healthcare Provider Details

I. General information

NPI: 1730697731
Provider Name (Legal Business Name): ALEXANDER D PAUL DMD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2018
Last Update Date: 07/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8390 W FLAGLER STREET SUITE 210
MIAMI FL
33144
US

IV. Provider business mailing address

8390 W FLAGLER STREET SUITE 210
MIAMI FL
33144
US

V. Phone/Fax

Practice location:
  • Phone: 305-209-3642
  • Fax:
Mailing address:
  • Phone: 305-209-3642
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. ALEXANDER DOUGLAS PAUL
Title or Position: ENDODONTIST
Credential: DMD
Phone: 978-424-3068