Provider Demographics
NPI:1194090241
Name:ARMSTRONG, ALEXANDRA LYNN (DMD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:LYNN
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:LYNN
Other - Last Name:BECKWITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:30 HIGGINS CROWELL RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WEST YARMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02673-3444
Mailing Address - Country:US
Mailing Address - Phone:508-775-8655
Mailing Address - Fax:
Practice Address - Street 1:30 HIGGINS CROWELL RD
Practice Address - Street 2:SUITE 1
Practice Address - City:WEST YARMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02673-3444
Practice Address - Country:US
Practice Address - Phone:508-775-8655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-21
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18568281223D0001X, 122300000X
TX277511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223D0001XDental ProvidersDentistDental Public Health
No1223G0001XDental ProvidersDentistGeneral Practice