Provider Demographics
NPI:1649741083
Name:LEENA ALEXANDER DDS PLLC
Entity Type:Organization
Organization Name:LEENA ALEXANDER DDS PLLC
Other - Org Name:STARSHINE DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:817-889-7766
Mailing Address - Street 1:4251 FM 2181 STE 264
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:TX
Mailing Address - Zip Code:76210-4220
Mailing Address - Country:US
Mailing Address - Phone:940-497-3000
Mailing Address - Fax:940-497-3010
Practice Address - Street 1:4251 FM 2181 STE 264
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:TX
Practice Address - Zip Code:76210-4220
Practice Address - Country:US
Practice Address - Phone:940-497-3000
Practice Address - Fax:940-497-3010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-11
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Single Specialty