Provider Demographics
NPI:1144235532
Name:ALEXANDER, LEENA ANNIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:LEENA
Middle Name:ANNIE
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4251 FM 2181 STE 264
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:TX
Mailing Address - Zip Code:76210-4220
Mailing Address - Country:US
Mailing Address - Phone:940-497-3000
Mailing Address - Fax:940-497-3010
Practice Address - Street 1:4251 FM 2181 STE 264
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:TX
Practice Address - Zip Code:76210-4220
Practice Address - Country:US
Practice Address - Phone:940-497-3000
Practice Address - Fax:940-497-3010
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX26255122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI33775900Medicaid