Healthcare Provider Details

I. General information

NPI: 1841363421
Provider Name (Legal Business Name): ALEXANDER & REEF DENTISTRY PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 N 26TH ST SUITE 303
LAFAYETTE IN
47904-2895
US

IV. Provider business mailing address

415 N 26TH ST SUITE 303
LAFAYETTE IN
47904-2895
US

V. Phone/Fax

Practice location:
  • Phone: 765-447-9139
  • Fax:
Mailing address:
  • Phone: 765-447-9139
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID ALEXANDER
Title or Position: PARTNER
Credential: D.D.S.M.S.D
Phone: 765-447-9319