Alexis S Trendowski, DDS
Individual provider Active NPI Dentist · Burlington, NC
NPI 1366935538 · NPPES record last updated Aug 15, 2019
Key facts
- NPI
- 1366935538
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 11012 (NC)
- Practice address
- 2728 Ann Elizabeth Dr
Burlington, NC 27215-5111 - Phone
- (336) 586-1919
- NPI assigned
- Jun 12, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 11012 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul W Miller DDS PLC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11012 | NC | Yes |
Addresses
Primary practice location
2728 Ann Elizabeth Dr
Burlington, NC 27215-5111
Mailing address
1107 Bricewood LN
Cedar Grove, NC 27231-9007
Phone (518) 570-2656
Other practice location 1
6 S Main St
Chatham, VA 24531-5436
Phone (434) 432-0610
Other providers in Burlington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2019. 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.