Alexander Dental Associates PC

Primary specialty

DentistTaxonomy code 122300000X

License

DN013825 Issued in GA

Legal business name

ALEXANDER DENTAL ASSOCIATES PC

Practice address

5176 Wrightsboro Rd
Grovetown, GA 30813-2802

Phone

(678) 877-5438

NPI assigned

Feb 23, 2015

Organization subpart

Yes

Parent organization

ALEXANDER FAMILY DENTISTRY PCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sean Alexander, D.M.D.

Title

President

Phone

(678) 877-5438

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1093107435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5176 WRIGHTSBORO RD",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308132802",
            "telephone_number": "678-877-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5176 WRIGHTSBORO RD",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308132802",
            "telephone_number": "678-877-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER DENTAL ASSOCIATES PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALEXANDER FAMILY DENTISTRY PC",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-877-5438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351298824C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Grovetown, GA
• Providers in Grovetown, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.