William Paul Alexander, DDS
Individual provider Active NPI Pediatric Dentistry · Clinton, UT
NPI 1427434232 · NPPES record last updated May 11, 2024
Key facts
- NPI
- 1427434232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- 9401146-9924 (UT)
- Practice address
- 1737 N 2000 W Ste G
Clinton, UT 84015-8215 - Phone
- (801) 728-9000
- NPI assigned
- Aug 4, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191211003112 | WA | Order and Referring Only - Dentist |
3173956703 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2432 | ND | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MC Dental Corporation, PC | Past |
Accepting new patients | |
| United States Navy | Past | Accepting new patients | |
| Clinton Dental Group, LLP | Past |
Accepting new patients | |
| William H. Maisey Dentist P.C. | Dentist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 2432 | ND | |
| Pediatric Dentistry | 1223P0221X | 9401146-9924 | UT | Yes |
Addresses
Primary practice location
1737 N 2000 W Ste G
Clinton, UT 84015-8215
Mailing address
1737 N 2000 W Ste G
Clinton, UT 84015-8215
Phone (801) 728-9000
Other providers in Clinton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.