Individual
ALEXANDER NULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
876 BUFORD RD, CUMMING, GA 30041-2716
(570) 367-0073
Mailing address
63 HERDS CT, CATAULA, GA 31804-4064
(570) 367-0073
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN22206
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN122934
GA
Other
Enumeration date
09/01/2016
Last updated
12/27/2022
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