Provider Demographics
NPI:1972887776
Name:ALEXANDER, JENNIFER MARIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:MARIE
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:JENNIFER
Other - Middle Name:MARIE
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:PO BOX 940
Mailing Address - Street 2:1220 N ADAMS
Mailing Address - City:LEXINGTON
Mailing Address - State:NE
Mailing Address - Zip Code:68850-1621
Mailing Address - Country:US
Mailing Address - Phone:308-324-7422
Mailing Address - Fax:308-324-7423
Practice Address - Street 1:1220 N ADAMS ST.
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NE
Practice Address - Zip Code:68850-1621
Practice Address - Country:US
Practice Address - Phone:402-324-7422
Practice Address - Fax:308-324-7423
Is Sole Proprietor?:No
Enumeration Date:2011-09-28
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE69721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice