Provider Demographics
NPI:1154859023
Name:TROYER, ALEXANDRA ANNE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:ANNE
Last Name:TROYER
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 1:5047 N CAPITOL AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46208-3404
Mailing Address - Country:US
Mailing Address - Phone:812-453-5231
Mailing Address - Fax:
Practice Address - Street 1:945 N GREEN ST
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-1032
Practice Address - Country:US
Practice Address - Phone:317-852-7112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-23
Last Update Date:2017-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12012686A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice