Provider Demographics
NPI:1205008919
Name:ALEXANDER, STUART E (DMD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:E
Last Name:ALEXANDER
Suffix:
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 1:19 NORTH MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:CRANBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08512-3327
Mailing Address - Country:US
Mailing Address - Phone:609-395-8383
Mailing Address - Fax:609-395-1133
Practice Address - Street 1:19 N MAIN ST
Practice Address - Street 2:
Practice Address - City:CRANBURY
Practice Address - State:NJ
Practice Address - Zip Code:08512-3203
Practice Address - Country:US
Practice Address - Phone:609-395-8383
Practice Address - Fax:609-395-1133
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-02
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI01611000122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist