Alex, David M
Alex, David M is an individual health care provider with primary practice located at 1291 E Mcandrews Rd , Medford OR 97504-6103. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Alex, David M can be contacted via phone (541) 779-8923.Contact Information
Primary practice address
1291 E Mcandrews Rd
Medford OR 97504-6103
Phone: (541) 779-8923
Fax: (541) 779-9620
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Pediatric Dentistry | 1223P0221X | 4909 | Oregon |
Dental Providers / Pediatric Dentistry | 1223P0221X | 24423 | California |
Dental Providers / Pediatric Dentistry | 1223P0221X | 5828 | Iowa |
Profile Details
NPI number | 1932199163 |
---|---|
LBN Legal business name | Alex, David M |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 27th, 2005 |
Last updated | Mar 7th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1932199163 | NPPES |
Oregon | Other | 268299-3 | STATE TAX ID |
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