Provider Demographics
NPI:1649424979
Name:ALEXANDER, KRISTEN M (DDS)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:M
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1077 DELAWARE ROAD
Mailing Address - Street 2:KRISTEN M. ALEXANDER
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14223
Mailing Address - Country:US
Mailing Address - Phone:716-875-0405
Mailing Address - Fax:716-875-9620
Practice Address - Street 1:9650 MAIN STREET
Practice Address - Street 2:KRISTEN M. ALEXANDER
Practice Address - City:CLARENCE
Practice Address - State:NY
Practice Address - Zip Code:14031
Practice Address - Country:US
Practice Address - Phone:716-759-8323
Practice Address - Fax:716-759-0935
Is Sole Proprietor?:No
Enumeration Date:2008-11-13
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC0533741223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics