Provider Demographics
NPI:1598250631
Name:GERTLER, ALEXIS RAE (DDS)
Entity type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:RAE
Last Name:GERTLER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 SE MIZNER BLVD APT 806B
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-5578
Mailing Address - Country:US
Mailing Address - Phone:516-318-2936
Mailing Address - Fax:
Practice Address - Street 1:2499 GLADES RD STE 102
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-7260
Practice Address - Country:US
Practice Address - Phone:561-362-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-29
Last Update Date:2025-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN277071223P0700X
NY0605781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Yes1223P0700XDental ProvidersDentistProsthodontics