Provider Demographics
NPI:1083330187
Name:TRYON, ALEXANDER REID (DDS)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:REID
Last Name:TRYON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5001 183A TOLL RD STE R300
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-7914
Mailing Address - Country:US
Mailing Address - Phone:737-239-0222
Mailing Address - Fax:
Practice Address - Street 1:5001 183A TOLL RD STE R300
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-7914
Practice Address - Country:US
Practice Address - Phone:737-239-0222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX391191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice