# JAMES G ALEXANDER JR DDS MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255454336
- **Authorized official:** DR. JAMES G ALEXANDER JR. M.D. (PLLC MEMBER)
- **Authorized official phone:** (870) 735-1152

## Contact information

- **Practice address:** 228 W TYLER AVE, STE 307, WEST MEMPHIS, AR 72301-4223
- **Practice address phone:** (870) 735-1152
- **Practice address fax:** (870) 735-4098
- **Mailing address:** 228 W TYLER AVE STE 307, P.O. BOX 907, WEST MEMPHIS, AR 72303-0907
- **Mailing address phone:** (870) 735-1152
- **Mailing address fax:** (870) 735-4098

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | AR3562 | AR | Yes |

## Other

- **Enumeration date:** 04/06/2007
- **Last updated:** 11/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 112939001 | — | AR |
| 01 | — | 4112951 | TENNESSEE BCBS | TN |
| 05 | — | 4185464 | — | TN |
| 01 | — | 50999 | ABCBS | AR |
| 01 | — | 59309 | AR M'CARE GROUP PTAN | AR |
| 01 | — | DD2979 | RR MEDICARE GROUP PTAN | — |
| 01 | — | P00219773 | RR MEDICARE INDIVIDUAL PTAN | — |