Youthful Tooth

LBN: Jeffrey P Alexander Dds A Dental Corp
Youthful Tooth is an health care organization with primary practice located at 8201 Edgewater Dr Suite 105 &106, Oakland CA 94621. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Jeffrey P Alexander Dds A Dental Corp can be contacted via phone (510) 568-3577, or through Alexander, Jeffrey via phone (510) 568-3577.

Contact Information

Primary practice address
8201 Edgewater Dr Suite 105 &106 Oakland CA 94621
Fax: (510) 568-8178
Website:
Authorized official contact:
Name: Alexander, Jeffrey Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 26327 California

Profile Details

NPI number 1801959515
LBN Legal business name Jeffrey P Alexander Dds A Dental Corp
DBA Doing business as Youthful Tooth
Authorized official Alexander, Jeffrey Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Nov 30th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801959515 NPPES
California MEDICAID G93765

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