Alexandra Nicole Masters, DMD
Individual provider Active NPI Dentist · Ellsworth Afb, SD
NPI 1295476356 · NPPES record last updated Aug 16, 2023
Key facts
- NPI
- 1295476356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DEN.00205269 (CO)
- Practice address
- 2900 Doolittle Dr
Ellsworth Afb, SD 57706-4821 - Phone
- (605) 385-3657
- NPI assigned
- Apr 5, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00205269 | CO | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN.00205269 | CO | Yes |
Addresses
Primary practice location
2900 Doolittle Dr
Ellsworth Afb, SD 57706-4821
Mailing address
2900 Doolittle Dr
Ellsworth Afb, SD 57706-4821
Phone (605) 856-3657
Other providers in Ellsworth Afb, SD
- Craig A Lequatte
- Elizabeth Grace Linder
- David John Linkh
- Adrianne Rae Littles
- Brandon Joseph Lorenz
- Brian Mathis
- Lauren Kay Matthews
- Dustin Ross Mayne
- Audrey McReavy
- Nakita L. Meeks
All providers in Ellsworth Afb, SD · Dentist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.