Healthcare Provider Details

I. General information

NPI: 1720082373
Provider Name (Legal Business Name): WILLIAM P MCALEXANDER DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: W PRESTON MCALEXANDER DMD

II. Dates (important events)

Enumeration Date: 06/10/2005
Last Update Date: 05/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2154 GOODMAN RD W
HORN LAKE MS
38637-1303
US

IV. Provider business mailing address

8151 E INDIAN BEND RD STE 111
SCOTTSDALE AZ
85250-4826
US

V. Phone/Fax

Practice location:
  • Phone: 662-393-9200
  • Fax:
Mailing address:
  • Phone: 480-607-9999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number3303-04
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: