Provider Demographics
NPI:1598147324
Name:FRENCH, ALEXA WALDEN (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALEXA
Middle Name:WALDEN
Last Name:FRENCH
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:LAUREN
Other - Middle Name:ALEXA
Other - Last Name:WALDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:1706 WILLIAMSBURG DR.
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130
Mailing Address - Country:US
Mailing Address - Phone:812-283-5550
Mailing Address - Fax:859-323-2036
Practice Address - Street 1:1706 WILLIAMSBURG DR.
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130
Practice Address - Country:US
Practice Address - Phone:812-283-5550
Practice Address - Fax:859-323-2036
Is Sole Proprietor?:No
Enumeration Date:2015-06-29
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY96011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice