Provider Demographics
NPI:1669887485
Name:DELGADO, ALEJANDRO JOSE (DDS)
Entity type:Individual
Prefix:
First Name:ALEJANDRO
Middle Name:JOSE
Last Name:DELGADO
Suffix:
Gender:M
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:PO BOX 100405
Mailing Address - Street 2:UNIVERSITY OF FLORIDA, COLLEGE OF DENTISTRY
Mailing Address - City:GAINSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610
Mailing Address - Country:US
Mailing Address - Phone:352-273-5785
Mailing Address - Fax:
Practice Address - Street 1:1395 CENTER DRIVE,
Practice Address - Street 2:UNIVERSITY OF FLORIDA, COLLEGE OF DENTISTRY
Practice Address - City:GAINSVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610
Practice Address - Country:US
Practice Address - Phone:352-273-5785
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-01
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTEACHING PERMIT #603122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist