# DR. ALEXANDER SULPOVAR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1558581108
- **Gender:** Man
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2000164228 | MO | — |
| 1223G0001X | General Practice Dentistry | 22DI02256300 | NJ | — |
| 1223G0001X | General Practice Dentistry | DS035501 | PA | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 09/04/2014