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JEFFREY P ALEXANDER DDS A DENTAL CORP NPI 1801959515


NPI Information

NPI: 1801959515
Provider Name: JEFFREY P ALEXANDER DDS A DENTAL CORP

Doing Business As: YOUTHFUL TOOTH

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
8201 EDGEWATER DR
SUITE 105 &106
OAKLAND, CA
ZIP 94621
Phone: (510) 568-3577
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JEFFREY P ALEXANDER DDS A DENTAL CORP is a general practice dentist in Oakland, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. JEFFREY P ALEXANDER DDS A DENTAL CORP NPI is 1801959515. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Youthful Tooth.

The provider's business location address is:

8201 EDGEWATER DR
SUITE 105 &106
OAKLAND, CA
ZIP 94621
Phone: (510) 568-3577
Fax: (510) 568-8178

The provider's authorized official is Jeffrey Alexander .
The authorized official title is Owner and has the following contact phone number (510) 568-3577.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 11/30/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice26327CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G93765MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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