| Alexa Dental | |
|
5858 S Gessner Rd Ste 104 Houston TX 77036-2646 | |
| (713) 777-8743 | |
| Not Available |
| Full Name | Alexa Dental |
|---|---|
| Speciality | Clinic/Center |
| Location | 5858 S Gessner Rd Ste 104, Houston, Texas |
| Authorized Official Name and Position | Ai Le (PRESIDENT) |
| Authorized Official Contact | 8327151063 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexa Dental 5547 Mangrove Creek Ln Sugar Land TX 77479-3770 Ph: (832) 715-1063 | Alexa Dental 5858 S Gessner Rd Ste 104 Houston TX 77036-2646 Ph: (713) 777-8743 |
| NPI Number | 1861988826 |
|---|---|
| Provider Enumeration Date | 07/02/2018 |
| Last Update Date | 07/31/2023 |
| Medicare PECOS PAC ID | 2365782653 |
|---|---|
| Medicare Enrollment ID | O20190325000416 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861988826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 26142 (Texas) | Primary |
| Provider Name | Ai Le |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1366744930 PECOS PAC ID: 3274873567 Enrollment ID: I20190325000488 |
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