Alexandra Gosnell, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

34764 Issued in TX

Practice address

Building 25501 Brainard Ave
Ft Gordon, GA 30905-4603

Phone

(706) 787-7050

NPI assigned

Aug 6, 2014

Last updated

Sep 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Eisenhower Army Medical Center

  dba Usadc Ft. Gordon Snyder

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Gordon, GA
  • NPI 1396949657
  NPD (past)
• Network Provider Associates, P.C.

  • Dentist
  • San Antonio, TX
  • NPI 1881838928
  NPD (past)

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1346659182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BUILDING 25501 BRAINARD AVE",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "30905",
            "telephone_number": "706-787-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUILDING 25501 BRAINARD AVE",
            "city": "FT GORDON",
            "state": "GA",
            "postal_code": "309054603",
            "telephone_number": "706-787-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSNELL",
        "first_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "MSDEN.00000002",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029926",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "34764",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61729",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Sue Gim, PHARM.D.
• Trelawney Malone Gleaves, LPN
• Gloria Glover
• Gail Marie Glushko, MD
• Kurt Goodell, DDS
• Donna Graham, N.P.
• Sarah Catherine Graves, DO
• Bernadette Hillary Greene, PMHNP
• Valerie Renee' Grenald, APRN
• Robert A Grover, DO

• Dentist in Fort Gordon, GA
• Providers in Fort Gordon, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.