Provider Demographics
NPI:1407182207
Name:BARON, ALEKSANDR (DDS)
Entity type:Individual
Prefix:DR
First Name:ALEKSANDR
Middle Name:
Last Name:BARON
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 1:3712 OLD FOREST RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-6963
Mailing Address - Country:US
Mailing Address - Phone:434-385-0273
Mailing Address - Fax:
Practice Address - Street 1:2817 ROCK MERRITT AVE WOMACK MEDICAL CENTER
Practice Address - Street 2:
Practice Address - City:FORT LIBERTY
Practice Address - State:NC
Practice Address - Zip Code:28310-5080
Practice Address - Country:US
Practice Address - Phone:910-907-8707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-29
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014177841223E0200X
UT739935799211223G0001X
AZD0106181223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No1223G0001XDental ProvidersDentistGeneral Practice