Provider Demographics
NPI:1174290217
Name:KEMPADOO-CANEVET, ALEXANDRE ROBERT MILES (DDS)
Entity Type:Individual
Prefix:
First Name:ALEXANDRE
Middle Name:ROBERT MILES
Last Name:KEMPADOO-CANEVET
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 1:722 S DENTON TAP RD STE 100
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-4555
Mailing Address - Country:US
Mailing Address - Phone:281-660-7897
Mailing Address - Fax:
Practice Address - Street 1:722 S DENTON TAP RD STE 100
Practice Address - Street 2:
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-4555
Practice Address - Country:US
Practice Address - Phone:281-660-7897
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-26
Last Update Date:2022-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37727122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist