Provider Demographics
NPI:1164304804
Name:HARPER, ALEX DAVID (DDS)
Entity type:Individual
Prefix:DR
First Name:ALEX
Middle Name:DAVID
Last Name:HARPER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 COUNTY ROAD 363
Mailing Address - Street 2:
Mailing Address - City:KILLEN
Mailing Address - State:AL
Mailing Address - Zip Code:35645-4313
Mailing Address - Country:US
Mailing Address - Phone:256-856-1720
Mailing Address - Fax:
Practice Address - Street 1:16090 HIGHWAY 72
Practice Address - Street 2:
Practice Address - City:ROGERSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35652-8111
Practice Address - Country:US
Practice Address - Phone:256-247-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALD.007546-C1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist