Aleksey Fuks,D.D.S., a Professional Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42547 Issued in CA

Legal business name

ALEKSEY FUKS,D.D.S., A PROFESSIONAL DENTAL CORPORATION

Practice address

8205 Santa Monica Blvd
Suite 12
West Hollywood, CA 90046-5967

Phone

(323) 650-1001

Fax

(323) 650-1633

NPI assigned

Mar 27, 2007

Organization subpart

No

Name

Mr. Aleksey Fuks, D.D.S.

Title

Owner

Phone

(323) 650-1001

Locations

• Hollywood Family Dentistry Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346368404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 SANTA MONICA BLVD",
            "address_2": "SUITE 12",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465967",
            "telephone_number": "323-650-1001",
            "fax_number": "323-650-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8205 SANTA MONICA BLVD",
            "address_2": "SUITE 12",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465967",
            "telephone_number": "323-650-1001",
            "fax_number": "323-650-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEKSEY FUKS,D.D.S., A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FUKS",
        "authorized_official_first_name": "ALEKSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-650-1001",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G94070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hollywood Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Julie Elizabeth Alexander, PA-C
• Mickie Leigh Alexander
• Mark Stephen Alfano, PH.D., ABPP (CN)

• All providers in West Hollywood, CA
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.