Healthcare Provider Details

I. General information

NPI: 1902169014
Provider Name (Legal Business Name): ALEXANDER HARRISON CONSKY MD, DDS, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2012
Last Update Date: 05/04/2022
Certification Date: 05/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 MEDICAL PARK DR
ASHEVILLE NC
28803
US

IV. Provider business mailing address

4 MEDICAL PARK DR
ASHEVILLE NC
28803-2493
US

V. Phone/Fax

Practice location:
  • Phone: 828-255-7781
  • Fax:
Mailing address:
  • Phone: 828-255-7781
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number150890
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number2017-01221
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: