Provider Demographics
NPI:1770989931
Name:ALEXANDER, STEVEN (DDS, MSD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 AVIATION RD BLDG A
Mailing Address - Street 2:
Mailing Address - City:QUEENSBURY
Mailing Address - State:NY
Mailing Address - Zip Code:12804-2915
Mailing Address - Country:US
Mailing Address - Phone:518-793-8511
Mailing Address - Fax:518-793-8588
Practice Address - Street 1:333 AVIATION RD BLDG A
Practice Address - Street 2:
Practice Address - City:QUEENSBURY
Practice Address - State:NY
Practice Address - Zip Code:12804-2915
Practice Address - Country:US
Practice Address - Phone:518-793-8511
Practice Address - Fax:518-793-8588
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-14
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY057600-11223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics