ALEXANDRA DENTAL LLC (NPI# 1194227090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194227090 |
Entity Type | Organization |
Organization Name | ALEXANDRA DENTAL LLC |
Practice Address |
654 Valley Cub Dr Alexandria AL 36250-4200 |
Practice Telephone | 2568471111 |
Enumeration Date | 2018-03-06 |
Last Update Date | 2018-03-06 |
Authorized Official Name | BRANT HAYNIE (DENTIST) |
Authorized Official Telephone | 2054670387 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
AL | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | 171653 | 05 |
Street Address |
654 VALLEY CUB DR |
City | ALEXANDRIA |
State | AL |
Zip Code | 36250-4200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043239908 | Maria Esther Ostrander | Nurse Practitioner | 383 E. Glen Rd, Alexandria, AL 36250 | 2006-07-19 |
1730408840 | Downey Eye Care Alexandria | Optometrist | 656 Valley Cub Dr, Alexandria, AL 36250-4200 | 2010-05-28 |
1134159122 | Downey Drug Alexandria, LLC | Pharmacy | 658 Valley Cub Dr, Alexandria, AL 36250-4200 | 2006-07-04 |
1508859588 | Michael Darren Herndon | Family Medicine | 7701 Al Highway 144, Alexandria, AL 36250-5081 | 2005-08-25 |
1306035852 | Teresa Ann Speigner | Counselor | 209 Idlewood Cir, Alexandria, AL 36250-6184 | 2007-10-22 |
1194067900 | Northeastern Behavioral & Consulting Services Inc | Case Management | 209 Idlewood Cir, Alexandria, AL 36250-6184 | 2013-03-19 |
1083956890 | Michael Morrison | Counselor | 209 Idlewood Cir, Alexandria, AL 36250-6184 | 2013-03-19 |
1245859719 | Boyd Grady Scoggins | Counselor | 323 Valley Dr N, Alexandria, AL 36250-6230 | 2020-04-14 |
1760682322 | Associated Chiropractic Clinic, Inc | Chiropractor | 80 Spring Branch Rd, Suite E, Alexandria, AL 36250-7311 | 2007-07-23 |
1043753304 | Comforting Times, LLC | In Home Supportive Care | 80 Spring Branch Rd, Ste B, Alexandria, AL 36250-7311 | 2016-11-18 |
Find all providers in zip 36250 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780284679 | Dr Gina Askander PC | Clinic/Center | 4660 Kenmore Ave Ste 318, Alexandria, VA 22304-1306 | 2020-10-29 |
1912525908 | Carabella Dental | Clinic/Center | 420 South Pickett Street, Alexandria, VA 22304-2230 | 2020-07-07 |
1376182196 | Alexandria Dentistry Pllc | Clinic/Center | 6000 Stevenson Ave Ste 103, Alexandria, VA 22304-3526 | 2019-12-26 |
1306493838 | Lawrence D. Singer | Clinic/Center | 809 Cameron St, Alexandria, VA 22314-2409 | 2019-08-20 |
1639734627 | Jung H Park Dds LLC | Clinic/Center | 7900 Andrus Rd Ste 1, Alexandria, VA 22306-3167 | 2019-05-05 |
1912404559 | Smile Experts | Clinic/Center | 4810 Beauregard St Ste 200, Alexandria, VA 22312-1709 | 2018-04-10 |
1871023507 | Brightwhites, P.C. | Clinic/Center | 6214 Old Franconia Rd Ste A, Alexandria, VA 22310-3400 | 2017-06-15 |
1669843082 | Alexandria Kids Dentistry, PC | Clinic/Center | 625 E Monroe Ave, Alexandria, VA 22301-3019 | 2015-10-12 |
1104205905 | Jonathan Ryan Rogenmoser Dds LLC | Clinic/Center | 160 Windermere Boulevard, Alexandria, LA 71303 | 2015-05-26 |
1548663347 | Eric Mestas Dds PC | Clinic/Center | 5115 Franconia Rd Ste -d, Alexandria, VA 22310 | 2014-10-07 |
Find all providers in ALEXANDRIA |
City | ALEXANDRIA |
Zip Code | 36250 |
Please comment or provide details below to improve the information on ALEXANDRA DENTAL LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.