Provider Demographics
NPI:1881634533
Name:ALESSANDRINI, EDWARD S (DMD, MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:S
Last Name:ALESSANDRINI
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Gender:M
Credentials:DMD, MD
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Mailing Address - Street 1:8918 BLAKENEY PROFESSIONAL DR.
Mailing Address - Street 2:SUITE 130
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277
Mailing Address - Country:US
Mailing Address - Phone:704-541-7761
Mailing Address - Fax:704-541-9467
Practice Address - Street 1:8918 BLAKENEY PROFESSIONAL DR.
Practice Address - Street 2:SUITE 130
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277
Practice Address - Country:US
Practice Address - Phone:704-541-7761
Practice Address - Fax:704-541-9467
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery