Healthcare Provider Details

I. General information

NPI: 1346050622
Provider Name (Legal Business Name): ALLA ALEXIS SHRAGER DMD 3 PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2025
Last Update Date: 01/09/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 GRAHAM ST
WARRENTON NC
27589-1912
US

IV. Provider business mailing address

PO BOX 90004
RALEIGH NC
27675-0004
US

V. Phone/Fax

Practice location:
  • Phone: 252-257-3736
  • Fax:
Mailing address:
  • Phone: 412-720-9277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

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