Provider Demographics
NPI:1801857180
Name:CARRARA, ALEXA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALEXA
Middle Name:
Last Name:CARRARA
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 1:3320 N CAMPBELL AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-2371
Mailing Address - Country:US
Mailing Address - Phone:520-322-0600
Mailing Address - Fax:
Practice Address - Street 1:3320 N CAMPBELL AVE STE 100
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-2371
Practice Address - Country:US
Practice Address - Phone:520-322-0600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD58471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ785222Medicaid