MEDICARE: DR. FELIX ALEXANDER GEN 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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	20894	OH

General Provider Information

NPI Number	:	1184693087
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FELIX ALEXANDER GEN D.D.S., M.S.

Provider Business Mailing Address
First Line	:	5035 MAYFIELD RD
Second Line	:	SUITE 210
City	:	CLEVELAND
State	:	OH
Zip	:	44124-2688
Country	:	US
Telephone Number	:	216-291-3525
Fax Number	:	216-291-3526

Provider Business Practice Location Address
First Line	:	5035 MAYFIELD RD
Second Line	:	SUITE 210
City	:	CLEVELAND
State	:	OH
Zip	:	44124-2688
Country	:	US
Telephone Number	:	216-291-3525
Fax Number	:	216-291-3526

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

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	07/08/2007

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