Provider Demographics
NPI:1407435365
Name:PASCAL, ALEXANDER BRETT (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:BRETT
Last Name:PASCAL
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 1:44 ASHFORD RD
Mailing Address - Street 2:
Mailing Address - City:LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01106-2542
Mailing Address - Country:US
Mailing Address - Phone:413-636-4704
Mailing Address - Fax:
Practice Address - Street 1:630 W 168TH ST STE 7-201
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3725
Practice Address - Country:US
Practice Address - Phone:413-636-4704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-06
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program