Provider Demographics
NPI:1891810008
Name:ALEXANDER, DAVID B (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:B
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1329 N UNIVERSITY DR STE C1
Mailing Address - Street 2:
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75961-4291
Mailing Address - Country:US
Mailing Address - Phone:936-564-9730
Mailing Address - Fax:936-564-2440
Practice Address - Street 1:1329 N UNIVERSITY DR STE C1
Practice Address - Street 2:
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75961-4291
Practice Address - Country:US
Practice Address - Phone:936-564-9730
Practice Address - Fax:936-564-2440
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX127051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX751727986OtherTAX ID NUMBER