Individual
D. ALEXANDER FREDERICK IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
44 S MAIN ST, WILKES BARRE, PA 18701-1705
(570) 829-2691
(570) 829-2790
Mailing address
6 ANDERSON RD, HARVEYS LAKE, PA 18618-2215
(570) 407-1779
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29893
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138005
UNISON PROVIDER ID#
PA
01
—
182513
UCCI PROVIDER ID #
PW
Enumeration date
02/23/2007
Last updated
10/02/2017
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