Provider Demographics
NPI:1578820007
Name:ALEXANDER, AKIL A (DDS)
Entity Type:Individual
Prefix:DR
First Name:AKIL
Middle Name:A
Last Name:ALEXANDER
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 1:3133 FREMONT AVE S APT 1
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-2733
Mailing Address - Country:US
Mailing Address - Phone:321-431-2543
Mailing Address - Fax:
Practice Address - Street 1:8960 SPRINGBROOK DR NW
Practice Address - Street 2:SUITE 150
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55433-5852
Practice Address - Country:US
Practice Address - Phone:321-431-2543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-23
Last Update Date:2015-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND13142122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist