Provider Demographics
NPI:1295814069
Name:ALEXANDER, KEVIN J (DMD)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:J
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 1:48 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35213-3702
Mailing Address - Country:US
Mailing Address - Phone:205-871-7361
Mailing Address - Fax:205-871-7368
Practice Address - Street 1:48 CHURCH ST
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35213-3702
Practice Address - Country:US
Practice Address - Phone:205-871-7361
Practice Address - Fax:205-871-7368
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2018-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL42771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice