Alex McRee, DMD
Individual provider Active NPI Dentist · Jacksonville, FL
NPI 1679931307 · NPPES record last updated Feb 7, 2022
Key facts
- NPI
- 1679931307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 23885 (FL)
- Practice address
- 11645 Beach Blvd Ste 101
Jacksonville, FL 32246-8496 - Phone
- (904) 999-9000
- NPI assigned
- Feb 9, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23885 | FL | MD | Dentist |
| DN015313 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 904 Implants and Dentures PLLC | Current |
Accepting new patients | |
| Walter L. Leeks, III DMD, P.C. | Past | Accepting new patients | |
| Inman Park Dentistry | Past | Accepting new patients |
Locations
11645 Beach Blvd
Ste 101
Jacksonville, FL 32246
Phone (904) 999-9000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN015313 | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 23885 | FL | Yes |
Addresses
Primary practice location
11645 Beach Blvd Ste 101
Jacksonville, FL 32246-8496
Mailing address
11645 Beach Blvd Ste 101
Jacksonville, FL 32246-8496
Phone (904) 999-9000
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2022. 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.