Organization
ALEXANDER ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES ALEXANDER D.D.S., M.S.D (DOCTOR)
(970) 249-0444
Entity
Organization
Contact information
Practice address
1801 E PAVILION PL, MONTROSE, CO 81401-5337
(970) 249-0444
(970) 249-0999
Mailing address
1801 E PAVILION PL, MONTROSE, CO 81401-5337
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6573
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790901601
INDIVIDUAL
CO
Enumeration date
05/24/2016
Last updated
05/24/2016
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