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NPI Code Detail

MEDICARE: CHRISTIAN ALEXANDER DMD PLLC

MEDICARE: CHRISTIAN ALEXANDER DMD PLLC
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
1122300000XDentist6710AZ

General Provider Information

NPI Number : 1326249806
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHRISTIAN ALEXANDER DMD PLLC
Provider Business Mailing Address
First Line : 300 W AIRPORT RD
Second Line :
City : PAYSON
State : AZ
Zip : 85541-3607
Country : US
Telephone Number : 928-474-3216
Fax Number :
Provider Business Practice Location Address
First Line : 300 W AIRPORT RD
Second Line :
City : PAYSON
State : AZ
Zip : 85541-3607
Country : US
Telephone Number : 928-474-3216
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. PAUL CHRISTIAN ALEXANDER
Credential : DMD
Telephone Number : 928-474-3216
Provider Enumeration Date : 05/30/2007
Last Update Date : 08/22/2020

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Directions to “CHRISTIAN ALEXANDER DMD PLLC ” Practice Location

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