Provider Demographics
NPI:1295412955
Name:THOMAS, ALEXANDRIA MADISON (DDS)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRIA
Middle Name:MADISON
Last Name:THOMAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2405 W 114TH ST
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211-3021
Mailing Address - Country:US
Mailing Address - Phone:913-231-1166
Mailing Address - Fax:
Practice Address - Street 1:11401 NALL AVE STE 100
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-1850
Practice Address - Country:US
Practice Address - Phone:913-649-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-03
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS621621223P0221X
NE79271223P0221X
MO20230213961223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry