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NPI Code Detail

MEDICARE: DR. ALEXANDER ROSS KERR DDS

MEDICARE: DR. ALEXANDER ROSS KERR DDS
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
1125Q00000XOral Medicine Dentistry047574NY
21223G0001XGeneral Practice Dentistry047574NY

General Provider Information

NPI Number : 1306994645
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEXANDER ROSS KERR DDS
Provider Business Mailing Address
First Line : 139 N 10TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11211-1162
Country : US
Telephone Number : 718-218-7636
Fax Number :
Provider Business Practice Location Address
First Line : 222 E 41ST ST FL 22
Second Line :
City : NEW YORK
State : NY
Zip : 10017-6739
Country : US
Telephone Number : 212-263-7552
Fax Number : 212-263-6931
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2007
Last Update Date : 05/01/2025

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