Provider Demographics
NPI:1780556142
Name:MCKENNA, ALEXANDRA MORLEY (DMD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:MORLEY
Last Name:MCKENNA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:571 HOPMEADOW ST
Mailing Address - Street 2:
Mailing Address - City:SIMSBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06070-2416
Mailing Address - Country:US
Mailing Address - Phone:860-651-9391
Mailing Address - Fax:860-651-7424
Practice Address - Street 1:571 HOPMEADOW ST
Practice Address - Street 2:
Practice Address - City:SIMSBURY
Practice Address - State:CT
Practice Address - Zip Code:06070-2416
Practice Address - Country:US
Practice Address - Phone:860-651-9391
Practice Address - Fax:860-651-7424
Is Sole Proprietor?:No
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT145021223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics