Provider Demographics
NPI:1396362455
Name:ALEXANDER C. GEORGE, DDS, INC.
Entity Type:Organization
Organization Name:ALEXANDER C. GEORGE, DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-487-3411
Mailing Address - Street 1:7069 CANTABERRA CT
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-4648
Mailing Address - Country:US
Mailing Address - Phone:626-487-3411
Mailing Address - Fax:
Practice Address - Street 1:16081 SAN DIEGUITO RD.
Practice Address - Street 2:G2
Practice Address - City:RANCHO SANTA FE
Practice Address - State:CA
Practice Address - Zip Code:92091
Practice Address - Country:US
Practice Address - Phone:626-487-3411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-06
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental