Provider Demographics
NPI:1588828073
Name:ALEXANDER, MARY BOWERS (DDS)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:BOWERS
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 BALBOA DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-5893
Mailing Address - Country:US
Mailing Address - Phone:301-928-6890
Mailing Address - Fax:301-879-9683
Practice Address - Street 1:800 BALBOA DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20905-5893
Practice Address - Country:US
Practice Address - Phone:301-928-6890
Practice Address - Fax:301-879-9683
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-14
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD105981223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics