Provider Demographics
NPI:1316090160
Name:ALEXANDER, STEVEN ROSS (DDS MS)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:ROSS
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:DDS MS
Other - Prefix:
Other - First Name:STEVEN
Other - Middle Name:ROSS
Other - Last Name:ALEXANDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS MS PLLC
Mailing Address - Street 1:3620 ENSIGN RD NE
Mailing Address - Street 2:SUITE A
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98506-6957
Mailing Address - Country:US
Mailing Address - Phone:360-491-9594
Mailing Address - Fax:360-491-9410
Practice Address - Street 1:3620 ENSIGN RD NE
Practice Address - Street 2:SUITE A
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-6957
Practice Address - Country:US
Practice Address - Phone:360-491-9594
Practice Address - Fax:360-491-9410
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA6447122300000X
ORD6776122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist