Individual
DR. DAVID M ALEX
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1291 E MCANDREWS RD, MEDFORD, OR 97504-6103
(541) 779-8923
(541) 779-9620
Mailing address
1291 E MCANDREWS RD, MEDFORD, OR 97504-6103
(541) 779-8923
(541) 779-9620
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
24423
CA
1223P0221X
Pediatric Dentistry
Primary
4909
OR
1223P0221X
Pediatric Dentistry
5828
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
268299-3
STATE TAX ID
OR
Enumeration date
10/27/2005
Last updated
03/07/2023
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