Provider Demographics
NPI:1730697731
Name:ALEXANDER D PAUL DMD PLLC
Entity type:Organization
Organization Name:ALEXANDER D PAUL DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ENDODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:PAUL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:978-424-3068
Mailing Address - Street 1:8390 W FLAGLER STREET
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144
Mailing Address - Country:US
Mailing Address - Phone:305-209-3642
Mailing Address - Fax:
Practice Address - Street 1:8390 W FLAGLER STREET
Practice Address - Street 2:SUITE 210
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144
Practice Address - Country:US
Practice Address - Phone:305-209-3642
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-12
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty