Provider Demographics
NPI:1326203175
Name:ALEXANDER, DENNIS ROSS (DDS)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:ROSS
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 1:3656 ABBOTT RD
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-1713
Mailing Address - Country:US
Mailing Address - Phone:716-822-0086
Mailing Address - Fax:716-822-0120
Practice Address - Street 1:3656 ABBOTT RD
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-1713
Practice Address - Country:US
Practice Address - Phone:716-822-0086
Practice Address - Fax:716-822-0120
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-22
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040826122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist