MEDICARE: ALEXIS CAVALIER

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	6002149-15	WI

General Provider Information

NPI Number	:	1659206738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS CAVALIER

Provider Business Mailing Address
First Line	:	735 CROSBY DR
Second Line	:
City	:	HUDSON
State	:	WI
Zip	:	54016-7870
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	W502 STATE ROAD 29
Second Line	:
City	:	SPRING VALLEY
State	:	WI
Zip	:	54767-9031
Country	:	US
Telephone Number	:	715-778-5543
Fax Number	:

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

Provider Enumeration Date	:	06/17/2026
Last Update Date	:	06/17/2026

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Directions to “ ALEXIS CAVALIER ” Practice Location

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