Alexandre Ghazal, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

15659 Issued in FL

Practice address

1950 Laurel Manor Dr
BLDG#184
The Villages, FL 32162-5603

Phone

(352) 753-0150

Fax

(352) 750-8072

NPI assigned

Jan 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Alex Ghazal Other name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Advanced Periodontics & Implant Care, LLC

  • Periodontics
  • The Villages, FL
  • NPI 1619591393
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1649324112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 LAUREL MANOR DR",
            "address_2": "BLDG#184",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625603",
            "telephone_number": "352-753-0150",
            "fax_number": "352-750-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 LAUREL MANOR DR",
            "address_2": "BLDG#184",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625603",
            "telephone_number": "352-753-0150",
            "fax_number": "352-750-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAZAL",
        "first_name": "ALEXANDRE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "15659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEX",
            "last_name": "GHAZAL",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Megan Geiger, LCSW, MCAP
• Geiser Spine and Rehab PLLC
• Cole Geiser
• Jofy Gerard, APRN
• Patrick Gerberich
• Yumna Ghouri, MD
• Amber Giese, MSN, APRN, FNP-C
• John A Giglio, DO
• Gurkirpal Gill I, MD
• Madison G Gilley

• Dentist in The Villages, FL
• Providers in The Villages, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.