Provider Demographics
NPI:1821330010
Name:DAMEVSKI, ALEKSANDAR (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALEKSANDAR
Middle Name:
Last Name:DAMEVSKI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 E CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462-7137
Mailing Address - Country:US
Mailing Address - Phone:610-272-1796
Mailing Address - Fax:610-272-3174
Practice Address - Street 1:1 E CHURCH RD
Practice Address - Street 2:
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-7137
Practice Address - Country:US
Practice Address - Phone:610-272-1796
Practice Address - Fax:610-272-3174
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-26
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS026075L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist