MEDICARE: DR. ALEXIS YVONNE TESSLER D.D.S., M.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	1223G0001X	General Practice Dentistry	2901019742	MI
2	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	27504	TX

General Provider Information

NPI Number	:	1144499906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXIS YVONNE TESSLER D.D.S., M.S.

Provider Business Mailing Address
First Line	:	5401 FM 1626
Second Line	:	SUITE 820
City	:	KYLE
State	:	TX
Zip	:	78640-6038
Country	:	US
Telephone Number	:	512-262-7895
Fax Number	:

Provider Business Practice Location Address
First Line	:	5401 FM 1626
Second Line	:	SUITE 820
City	:	KYLE
State	:	TX
Zip	:	78640-6038
Country	:	US
Telephone Number	:	512-262-7895
Fax Number	:

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

Provider Enumeration Date	:	02/26/2008
Last Update Date	:	09/12/2016

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