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Contact Information

KEITH A ALEXANDER, DDS
30 LYNDON RD
FAYETTEVILLE, NY13066-1016
 Phone: 315-460-0110
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Orthodontics and Dentofacial Orthopedics

1223X0400X
Indicates primary specialty

NPI Profile & details for KEITH A ALEXANDER · (Male)

NPI Number 1083885685
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 03/21/2008
Last updated 08/26/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 56884
  • NY License # 055459
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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