Alexander Kiel Flora, DDS

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Woodruff, WI

NPI 1669961827 · NPPES record last updated May 3, 2018

Key facts

NPI
1669961827
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1025 3Rd Ave
Woodruff, WI 54568-9492
Phone
(715) 356-2777
NPI assigned
May 3, 2018
Sex
Male
Sole proprietor
No

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
Ideal Dental Inc. Current
since Feb 26, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1025 3Rd Ave
Woodruff, WI 54568-9492

Mailing address

N15805 Perch Rd
Park Falls, WI 54552-8251
Phone (715) 820-0201

Other providers in Woodruff, WI

All providers in Woodruff, WI · Student in an Organized Health Care Education/Training Program in Wisconsin

Sources for this page

Verify at the official NPI Registry.