Provider Demographics
NPI:1578174843
Name:ALEXANDRA S GEORGE DDS PC
Entity Type:Organization
Organization Name:ALEXANDRA S GEORGE DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:S
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:724-934-3422
Mailing Address - Street 1:181 WEXFORD BAYNE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-8900
Mailing Address - Country:US
Mailing Address - Phone:724-934-3422
Mailing Address - Fax:724-934-3426
Practice Address - Street 1:181 WEXFORD BAYNE RD STE 200
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-8900
Practice Address - Country:US
Practice Address - Phone:724-934-3422
Practice Address - Fax:724-934-3426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-11
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment