Provider Demographics
NPI:1225152051
Name:MCALEXANDER, THOMAS MONTE (DDS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:MONTE
Last Name:MCALEXANDER
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 1:468 N PARKWAY
Mailing Address - Street 2:SUITE #2
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38305-2857
Mailing Address - Country:US
Mailing Address - Phone:731-664-3815
Mailing Address - Fax:731-664-3816
Practice Address - Street 1:468 N PARKWAY
Practice Address - Street 2:SUITE #2
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-2857
Practice Address - Country:US
Practice Address - Phone:731-664-3815
Practice Address - Fax:731-664-3816
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS00000035521223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics