=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881160927
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALEXANDER KRASNE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/16/2018
-----------------------------------------------------
Last Update Date | 10/16/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 561 OLD COUNTY HOME RD
-----------------------------------------------------
City | ASHEVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28806-9563
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-254-0400
-----------------------------------------------------
Fax | 828-251-1785
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 561 OLD COUNTY HOME RD
-----------------------------------------------------
City | ASHEVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28806-9563
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-254-0400
-----------------------------------------------------
Fax | 828-251-1785
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PARTNER
-----------------------------------------------------
Name | ALEXANDER B KRASNE
-----------------------------------------------------
Credential | DMD
-----------------------------------------------------
Telephone | 828-254-0400
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 122300000X
-----------------------------------------------------
Taxonomy Name | Dentist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------