# ALLA ALEXIS SHRAGER DMD 3 PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ALLA ALEXIS SHRAGER DMD 4 PLLC
- **Other names:** Lake Gaston Dental, Lake Gaston Dental - Warrenton, Lake Gaston Dental - Littleton, Southern Dental Group - Lake Gaston Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1346050622
- **Legal business name:** ALLA ALEXIS SHRAGER DMD 4 PLLC
- **Authorized official:** DR. ALLA ALEXIS SHRAGER DMD (MANAGER)
- **Authorized official phone:** (412) 720-9277

## Contact information

- **Practice address:** 202 GRAHAM ST, WARRENTON, NC 27589-1912
- **Practice address phone:** (252) 257-3736
- **Mailing address:** PO BOX 90004, RALEIGH, NC 27675-0004
- **Mailing address phone:** (412) 720-9277

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | — | NULL | Yes |
| 1223D0001X | Public Health Dentistry | — | — | Yes |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | NULL | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | — | — |

## Other

- **Enumeration date:** 01/09/2025
- **Last updated:** 01/09/2025