Provider Demographics
NPI:1487656484
Name:SAX, ALEXANDER D (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:D
Last Name:SAX
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:DR
Other - First Name:ALEXANDER
Other - Middle Name:D
Other - Last Name:SAX
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:745 E WARRINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15210-1566
Mailing Address - Country:US
Mailing Address - Phone:412-381-7150
Mailing Address - Fax:412-381-5921
Practice Address - Street 1:745 E WARRINGTON AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15210-1566
Practice Address - Country:US
Practice Address - Phone:412-381-7150
Practice Address - Fax:412-381-5921
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS019601L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0005208420001Medicaid