Provider Demographics
NPI:1437261195
Name:ALEXANDER, TODD C (DMD)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:C
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 1:2005 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148-1868
Mailing Address - Country:US
Mailing Address - Phone:724-346-2372
Mailing Address - Fax:724-346-2374
Practice Address - Street 1:2005 E STATE ST
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-1868
Practice Address - Country:US
Practice Address - Phone:724-346-2372
Practice Address - Fax:724-346-2374
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS029908L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist