Emanuel Stefan Alexandroni, DDS, MS
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Murfreesboro, TN
NPI 1659536340 · NPPES record last updated Sep 5, 2024
Key facts
- NPI
- 1659536340
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 10193 (TN)
- Practice address
- 2863 Old Fort Pkwy Ste E
Murfreesboro, TN 37128-4420 - Phone
- (158) 697-2776
- NPI assigned
- Jul 23, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10193 | TN | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 10193 | TN | Yes |
Addresses
Primary practice location
2863 Old Fort Pkwy Ste E
Murfreesboro, TN 37128-4420
Mailing address
2863 Old Fort Pkwy Ste D
Murfreesboro, TN 37128-4419
Other providers in Murfreesboro, TN
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- Akiaya Jleigh Alexander
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- Khanya Alexander
- Susan Norris Alexander
- Muhammad Fariz Ali
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All providers in Murfreesboro, TN · Orthodontics and Dentofacial Orthopedics Dentistry in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2024. 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.