Healthcare Provider Details
I. General information
NPI: 1487656484
Provider Name (Legal Business Name): ALEXANDER D. SAX D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/10/2005
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
745 E WARRINGTON AVE
PITTSBURGH PA
15210-1566
US
IV. Provider business mailing address
745 E WARRINGTON AVE
PITTSBURGH PA
15210-1566
US
V. Phone/Fax
- Phone: 412-381-7150
- Fax: 412-381-5921
- Phone: 412-381-7150
- Fax: 412-381-5921
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | DS019601L |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: