Provider Demographics
NPI:1992187520
Name:MARRERO-PLASENCIA, ALEXANDER FELIPE (DMD)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:FELIPE
Last Name:MARRERO-PLASENCIA
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 1:1945 NOOR STREET
Mailing Address - Street 2:APARTMENT # 404
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544
Mailing Address - Country:US
Mailing Address - Phone:904-502-7902
Mailing Address - Fax:
Practice Address - Street 1:1945 NOOR STREET
Practice Address - Street 2:APARTMENT # 404
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544
Practice Address - Country:US
Practice Address - Phone:904-502-7902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-19
Last Update Date:2015-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 21261122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist