Organization
ALEXANDER DENTAL ASSOCIATES PC
Active
Parent organization
ALEXANDER FAMILY DENTISTRY PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALEXANDER FAMILY DENTISTRY PC
Authorized official
DR. SEAN ALEXANDER D.M.D. (PRESIDENT)
(678) 877-5438
Entity
Organization
Contact information
Practice address
5176 WRIGHTSBORO RD, GROVETOWN, GA 30813-2802
(678) 877-5438
Mailing address
5176 WRIGHTSBORO RD, GROVETOWN, GA 30813-2802
(678) 877-5438
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013825
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
351298824C
—
GA
Enumeration date
02/23/2015
Last updated
02/23/2015
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