Provider Demographics
NPI:1932199163
Name:ALEX, DAVID M (DDS)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:M
Last Name:ALEX
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:1291 E MCANDREWS RD
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504-6103
Mailing Address - Country:US
Mailing Address - Phone:541-779-8923
Mailing Address - Fax:541-779-9620
Practice Address - Street 1:1291 E MCANDREWS RD
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-6103
Practice Address - Country:US
Practice Address - Phone:541-779-8923
Practice Address - Fax:541-779-9620
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-27
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OR49091223P0221X
CA244231223P0221X
IA58281223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR268299-3OtherSTATE TAX ID
OR268299-3OtherSTATE TAX ID