Provider Demographics
NPI:1013678648
Name:BROWN, ALEXA CHRISTINE (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALEXA
Middle Name:CHRISTINE
Last Name:BROWN
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 1:23 CARLTON AVE
Mailing Address - Street 2:
Mailing Address - City:HO HO KUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07423-1416
Mailing Address - Country:US
Mailing Address - Phone:201-264-9825
Mailing Address - Fax:
Practice Address - Street 1:23 CARLTON AVE
Practice Address - Street 2:
Practice Address - City:HO HO KUS
Practice Address - State:NJ
Practice Address - Zip Code:07423-1416
Practice Address - Country:US
Practice Address - Phone:201-264-9825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-05
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI028483001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice