Provider Demographics
NPI:1275744807
Name:ALEXANDER, MARC L (BSC, DDS)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:L
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:BSC, DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1165 COAST VILLAGE RD
Mailing Address - Street 2:SUITE J
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93108-2747
Mailing Address - Country:US
Mailing Address - Phone:805-969-1736
Mailing Address - Fax:805-969-1721
Practice Address - Street 1:1165 COAST VILLAGE RD
Practice Address - Street 2:SUITE J
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93108-2747
Practice Address - Country:US
Practice Address - Phone:805-969-1736
Practice Address - Fax:805-969-1721
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA427971223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics