Alexis Allen, DDS

Individual provider Active NPI General Practice Dentistry · Arnold, MO

NPI 1215535133 · NPPES record last updated Oct 13, 2020

Key facts

NPI
1215535133
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
2020030633 (MO)
Practice address
2231 Michigan Ave
Arnold, MO 63010-2151
Phone
(636) 287-1226
NPI assigned
Oct 13, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2020030633MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Alex Sharifian DDS Water Tower Dental Group PC General Practice Past
since Oct 19, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2020030633 MO Yes

Addresses

Primary practice location

2231 Michigan Ave
Arnold, MO 63010-2151

Mailing address

7446 Cornell Ave
Saint Louis, MO 63130-2914
Phone (949) 648-2260

Other providers in Arnold, MO

All providers in Arnold, MO · General Practice Dentistry in Missouri

Sources for this page

Verify at the official NPI Registry.