Provider Demographics
NPI:1033732821
Name:M. ALEXANDRUNAS, D. HUDOBA DENTAL 1 INC
Entity Type:Organization
Organization Name:M. ALEXANDRUNAS, D. HUDOBA DENTAL 1 INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDRUNAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-425-9059
Mailing Address - Street 1:PO BOX 822
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:OH
Mailing Address - Zip Code:43054-0822
Mailing Address - Country:US
Mailing Address - Phone:614-425-9059
Mailing Address - Fax:
Practice Address - Street 1:104 E HIGH ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:OH
Practice Address - Zip Code:43050-3415
Practice Address - Country:US
Practice Address - Phone:740-392-5966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:M. ALEXANDRUNAS D HUDOBA DENTAL 1 INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-05-27
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental