Provider Demographics
NPI:1023446010
Name:HARVEY, ALEX CHRISTOPHER (DMD)
Entity type:Individual
Prefix:DR
First Name:ALEX
Middle Name:CHRISTOPHER
Last Name:HARVEY
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 1:546 CLAIRE CT
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31217-1321
Mailing Address - Country:US
Mailing Address - Phone:478-284-6700
Mailing Address - Fax:
Practice Address - Street 1:1177 GARDEN WALK BLVD
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:GA
Practice Address - Zip Code:30349-6245
Practice Address - Country:US
Practice Address - Phone:770-997-9090
Practice Address - Fax:770-997-1387
Is Sole Proprietor?:No
Enumeration Date:2013-10-29
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN014689122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist