Individual
ALEXANDER CHARLES HUBRECHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9126 TECHNOLOGY LN STE 100, FISHERS, IN 46038-3094
(317) 598-9898
Mailing address
307 N PENNSYLVANIA ST APT 514, INDIANAPOLIS, IN 46204-2293
(317) 730-5014
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12014594A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300102462
—
IN
Enumeration date
04/05/2023
Last updated
06/16/2025
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