Individual
DR. ALEXANDER JOHN DEBERNARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9002 SIX PINES DR, SUITE #142, SHENANDOAH, TX 77380
(609) 320-8618
(346) 371-4678
Mailing address
9002 SIX PINES DR, SUITE #142, SHENANDOAH, TX 77380
(609) 320-8618
(346) 371-4678
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
37477
TX
122300000X
Dentist
ETN741
TX
1223D0004X
Dental Anesthesiology
37477
TX
Other
Enumeration date
12/01/2020
Last updated
02/11/2026
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