Provider Demographics
NPI:1427498203
Name:ALEXAS, NOEL RAE (DDS)
Entity type:Individual
Prefix:MS
First Name:NOEL
Middle Name:RAE
Last Name:ALEXAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 JEFFERSON AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-1464
Mailing Address - Country:US
Mailing Address - Phone:724-470-9750
Mailing Address - Fax:724-470-9751
Practice Address - Street 1:2301 JEFFERSON AVE STE 3
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-1464
Practice Address - Country:US
Practice Address - Phone:724-470-9750
Practice Address - Fax:724-470-4751
Is Sole Proprietor?:No
Enumeration Date:2013-06-26
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV4052122300000X
PADS040317122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist