Provider Demographics
NPI:1992535462
Name:SAINT AMAND, ALEXIS (RDH)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:SAINT AMAND
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1691 COALTON RD
Mailing Address - Street 2:
Mailing Address - City:SUPERIOR
Mailing Address - State:CO
Mailing Address - Zip Code:80027-4681
Mailing Address - Country:US
Mailing Address - Phone:720-304-3267
Mailing Address - Fax:
Practice Address - Street 1:1691 COALTON RD
Practice Address - Street 2:
Practice Address - City:SUPERIOR
Practice Address - State:CO
Practice Address - Zip Code:80027-4681
Practice Address - Country:US
Practice Address - Phone:720-304-3267
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist