Provider Demographics
NPI:1700438645
Name:FLYNN, ALEXANDER MICKLOS (DDS)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:MICKLOS
Last Name:FLYNN
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 1:3551 ROGER BROOK DRIVE
Mailing Address - Street 2:FLOOR 3
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78234-4505
Mailing Address - Country:US
Mailing Address - Phone:210-916-0332
Mailing Address - Fax:
Practice Address - Street 1:3551 ROGER BROOK DRIVE
Practice Address - Street 2:FLOOR 3
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78234-4505
Practice Address - Country:US
Practice Address - Phone:210-916-0332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-11
Last Update Date:2023-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program