MEDICARE: LEENA ALEXANDER DDS PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QD0000X	Dental Clinic/Center
2	332BC3200X	Customized Equipment (DME)
3	122300000X	Dentist

General Provider Information

NPI Number	:	1649741083
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEENA ALEXANDER DDS PLLC

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	:	OWNER/MANAGER
Name	:	DR. LEENA ALEXANDER
Credential	:	DDS
Telephone Number	:	817-889-7766

Provider Enumeration Date	:	12/11/2018
Last Update Date	:	04/28/2022

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