Healthcare Provider Details

I. General information

NPI: 1093496911
Provider Name (Legal Business Name): ALLA ALEXIS SHRAGER, DMD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2023
Last Update Date: 04/09/2024
Certification Date: 04/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8331 BANDFORD WAY STE 105
RALEIGH NC
27615-2765
US

IV. Provider business mailing address

8331 BANDFORD WAY STE 105
RALEIGH NC
27615-2765
US

V. Phone/Fax

Practice location:
  • Phone: 919-847-7200
  • Fax: 919-847-7391
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. ALLA ALEXIS SHRAGER
Title or Position: OWNER/ORTHODONTIST
Credential: DMD
Phone: 412-720-9277