Provider Demographics
NPI:1801414834
Name:PUGH, ALEXIS FERRELL (DDS, MSD)
Entity Type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:FERRELL
Last Name:PUGH
Suffix:
Gender:F
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6201 HARMON DR
Mailing Address - Street 2:
Mailing Address - City:PELL CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35128-6713
Mailing Address - Country:US
Mailing Address - Phone:205-908-5884
Mailing Address - Fax:
Practice Address - Street 1:5391 MAGNOLIA TRCE
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-4622
Practice Address - Country:US
Practice Address - Phone:205-628-9789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-07
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0006528-C11223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics