Provider Demographics
NPI:1699517938
Name:SAVAGLIO, ALEXANDRA LYNN (DDS)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:LYNN
Last Name:SAVAGLIO
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 1:5861 ROYAL LN APT 216
Mailing Address - Street 2:
Mailing Address - City:WHITESTOWN
Mailing Address - State:IN
Mailing Address - Zip Code:46075-0506
Mailing Address - Country:US
Mailing Address - Phone:262-358-2565
Mailing Address - Fax:
Practice Address - Street 1:11135 PENDLETON PIKE STE 900
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46236-2872
Practice Address - Country:US
Practice Address - Phone:317-826-3441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-07
Last Update Date:2024-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12014408A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice