Provider Demographics
NPI:1912288226
Name:CULP, ALEXANDER JOSEPH (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:JOSEPH
Last Name:CULP
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 1:1236 EBENEZER RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-3390
Mailing Address - Country:US
Mailing Address - Phone:803-324-2921
Mailing Address - Fax:803-324-2491
Practice Address - Street 1:1236 EBENEZER RD
Practice Address - Street 2:SUITE 100
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-3390
Practice Address - Country:US
Practice Address - Phone:803-324-2921
Practice Address - Fax:803-324-2491
Is Sole Proprietor?:No
Enumeration Date:2011-08-31
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC70721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice