Provider Demographics
NPI:1306813902
Name:ALEXANDER, ALEX FLEMMING (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALEX
Middle Name:FLEMMING
Last Name:ALEXANDER
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 1:480 W WEBB AVE
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27217-3704
Mailing Address - Country:US
Mailing Address - Phone:336-228-7576
Mailing Address - Fax:336-228-1464
Practice Address - Street 1:480 W WEBB AVE
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27217-3704
Practice Address - Country:US
Practice Address - Phone:336-228-7576
Practice Address - Fax:336-228-1464
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3886122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC90161OtherBCBSOFNC
NC8990158Medicaid