Provider Demographics
NPI:1376338848
Name:SILES, ALEJANDRO (DMD)
Entity type:Individual
Prefix:
First Name:ALEJANDRO
Middle Name:
Last Name:SILES
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 1:597 N 380 W
Mailing Address - Street 2:
Mailing Address - City:SANTAQUIN
Mailing Address - State:UT
Mailing Address - Zip Code:84655-5105
Mailing Address - Country:US
Mailing Address - Phone:801-636-0919
Mailing Address - Fax:
Practice Address - Street 1:85 N 500 W
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84601-2647
Practice Address - Country:US
Practice Address - Phone:801-373-8791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT14212991-99261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice