Carlos David Alexander, DDS

Individual provider Active NPI General Practice Dentistry · Memphis, TN

NPI 1821206004 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1821206004
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
7527 (TN)
Practice address
1697 Bender Rd
Memphis, TN 38116-8008
Phone
(901) 346-1820
Fax
(901) 346-1799
NPI assigned
May 19, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
7527TNMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7527 TN Yes

Addresses

Primary practice location

1697 Bender Rd
Memphis, TN 38116-8008

Mailing address

1697 Bender Rd
Memphis, TN 38116-8008
Phone (901) 346-1820

Other providers in Memphis, TN

All providers in Memphis, TN · General Practice Dentistry in Tennessee

Sources for this page

Verify at the official NPI Registry.