MEDICARE: DR. LEENA ANNIE ALEXANDER D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	26255	TX

General Provider Information

NPI Number	:	1144235532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEENA ANNIE ALEXANDER D.D.S.

Provider Business Mailing Address
First Line	:	4251 FM 2181 STE 264
Second Line	:
City	:	CORINTH
State	:	TX
Zip	:	76210-4220
Country	:	US
Telephone Number	:	940-497-3000
Fax Number	:	940-497-3010

Provider Business Practice Location Address
First Line	:	4251 FM 2181 STE 264
Second Line	:
City	:	CORINTH
State	:	TX
Zip	:	76210-4220
Country	:	US
Telephone Number	:	940-497-3000
Fax Number	:	940-497-3010

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	02/08/2021

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Directions to “ DR. LEENA ANNIE ALEXANDER D.D.S.” Practice Location

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