# ALEX EDGERLY, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Edgerly Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912536418
- **Authorized official:** DR. ALEX EDGERLY (OWNER DENTIST)
- **Authorized official phone:** (409) 735-2401

## Contact information

- **Practice address:** 825 W ROUND BUNCH RD, BRIDGE CITY, TX 77611-2436
- **Practice address phone:** (409) 735-2401
- **Mailing address:** 825 W ROUND BUNCH RD, BRIDGE CITY, TX 77611-2436
- **Mailing address phone:** (409) 735-2401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/06/2020
- **Last updated:** 04/30/2020