Provider Demographics
NPI:1881033033
Name:CENAMI, ALEXIS (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:
Last Name:CENAMI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:164 THORNDIKE ST APT 3
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-5873
Mailing Address - Country:US
Mailing Address - Phone:954-326-9635
Mailing Address - Fax:
Practice Address - Street 1:1418 MAIN ST
Practice Address - Street 2:
Practice Address - City:TEWKSBURY
Practice Address - State:MA
Practice Address - Zip Code:01876-4756
Practice Address - Country:US
Practice Address - Phone:978-851-7890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-20
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18562701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice