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DR. KEISHA N ALEXANDER D.D.S., M.S.
Orthodontics and Dentofacial Orthopedics >> Dentist >> Dental ProvidersRegistrant NPI Number: 1912151838
Individual Registrant:DR. KEISHA N ALEXANDER D.D.S., M.S.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
1074 SPRING LAKE SQ WINTER HAVEN, FL 33881 US
Tel: 863-291-4500 Fax: 863-299-3781
Tel: 863-291-4500 Fax: 863-299-3781
Contact information for business:
1074 SPRING LAKE SQ WINTER HAVEN, FL 33881 US
Tel: 863-291-4500 Fax: 863-299-3781
Tel: 863-291-4500 Fax: 863-299-3781
Registration Information:
NPI: 1912151838
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223X0400X | Dental Providers Dentist Orthodontics and Dentofacial Orthopedics | FL | DN 18362 |
| N | 1223X0400X | Dental Providers Dentist | NC | 8460 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
