Provider Demographics
NPI:1003254285
Name:MARLOW, ALEXANDER THOMAS (DMD)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:THOMAS
Last Name:MARLOW
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2365 S HURON PKWY
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-5156
Mailing Address - Country:US
Mailing Address - Phone:734-677-8700
Mailing Address - Fax:734-839-4137
Practice Address - Street 1:2365 S HURON PKWY
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-5156
Practice Address - Country:US
Practice Address - Phone:734-677-8700
Practice Address - Fax:734-839-4137
Is Sole Proprietor?:No
Enumeration Date:2013-06-10
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010209801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice