Provider Demographics
NPI:1811359482
Name:MEYERS, ALEXIS (DMD)
Entity type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:
Last Name:MEYERS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 BROAD ST STE 101B
Mailing Address - Street 2:
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-1554
Mailing Address - Country:US
Mailing Address - Phone:412-313-5176
Mailing Address - Fax:412-588-1538
Practice Address - Street 1:409 BROAD ST STE 101B
Practice Address - Street 2:
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-1554
Practice Address - Country:US
Practice Address - Phone:412-313-5176
Practice Address - Fax:412-588-1538
Is Sole Proprietor?:No
Enumeration Date:2016-03-23
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0420381223P0221X
KY97801223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry