James Craig Alexander II, D.M.D.

Individual provider Active NPI General Practice Dentistry · East Greenbush, NY

NPI 1619099017 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1619099017
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
039562 (NY)
Practice address
739 Columbia Tpke
East Greenbush, NY 12061-2231
Phone
(518) 477-1008
Fax
(518) 477-4399
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Aesthetic Dentistry of East Greenbush Past
since Oct 22, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 039562 NY Yes

Addresses

Primary practice location

739 Columbia Tpke
East Greenbush, NY 12061-2231

Mailing address

PO Box 237
East Greenbush, NY 12061-0237
Phone (518) 477-1008

Other providers in East Greenbush, NY

All providers in East Greenbush, NY · General Practice Dentistry in New York

Sources for this page

Verify at the official NPI Registry.