Provider Demographics
NPI:1164463022
Name:TURBYNE, ALEXANDER NMI III (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:NMI
Last Name:TURBYNE
Suffix:III
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 1:44 BENNETT AVE
Mailing Address - Street 2:
Mailing Address - City:SKOWHEGAN
Mailing Address - State:ME
Mailing Address - Zip Code:04976-1214
Mailing Address - Country:US
Mailing Address - Phone:207-474-5857
Mailing Address - Fax:207-858-0164
Practice Address - Street 1:44 BENNETT AVE
Practice Address - Street 2:
Practice Address - City:SKOWHEGAN
Practice Address - State:ME
Practice Address - Zip Code:04976-1214
Practice Address - Country:US
Practice Address - Phone:207-474-5857
Practice Address - Fax:207-858-0164
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME24141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice