DR. KELLY DREW ALEXANDER JR. (NPI# 1598776924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598776924 |
| Entity Type | Individual |
| Full Name | DR. KELLY DREW ALEXANDER JR. |
| Credential | DDS |
| Practice Address |
104 E Washington St Hollandale MS 38748 |
| Practice Telephone | 6628272922 |
| Practice Fax Number | 6628272922 |
| Mailing Telephone | 6628272922 |
| Mailing Fax Number | 6628272922 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 104962 | MS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00060035 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346802931 | Kelly Alexander | Counselor | 451 W . Chew Street, Allentown, PA 18102 | 2019-07-03 |
| 1386194975 | Kelly Alexander | Rehabilitation Practitioner | 567 N 5th St # 153, Terre Haute, IN 47809-1903 | 2016-10-07 |
| 1043466071 | Kelly Alexander | Dentist | 2931 State Road, Cuyahoga Falls, OH 44223 | 2008-08-11 |
| 1275547861 | Kelly Alexander | Physical Therapist | 144 Evergreen Pkwy, Lebanon, MO 65536-7056 | 2006-07-28 |
| 1356377212 | Kelly L Alexander | Surgery | 1199 Bush St Ste 400, San Francisco, CA 94109-5975 | 2006-06-23 |
| 1639666266 | Kelly A Alexander | Social Worker | 3737 Lander Rd, Cleveland, OH 44124-5712 | 2018-04-19 |
| 1104277136 | Kelly Prine Alexander | Nurse Practitioner | 969 Lakeland Dr, Jackson, MS 39216-4606 | 2016-06-30 |
| 1164844288 | Kelly A Alexander | Counselor | 10001 Grand Ave, Franklin Park, IL 60131-2563 | 2014-01-08 |
| 1780026187 | Kelly Michelle Alexander | Physical Therapist | 5725 Corporate Way, Suite 108, West Palm Beach, FL 33407-2007 | 2013-07-25 |
| Street Address |
104 E WASHINGTON ST |
| City | HOLLANDALE |
| State | MS |
| Zip Code | 38748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669023743 | Patricia Ann Hunter | Technician | 808 Thomas Street, Hollandale, MS 38748 | 2019-09-20 |
| 1306239108 | Janice Suzanne Cockrell | Nurse Practitioner | 100 East Washington Street, Hollandale, MS 38748 | 2015-03-18 |
| 1023304110 | Therapy Services Unlimited LLC | Physical Therapist | 117a East Ave, Hollandale, MS 38748 | 2011-06-27 |
| 1992922769 | Community Health Needs, Inc. | Homemaker | 204 East Avenue South, Hollandale, MS 38748 | 2007-04-20 |
| 1013134022 | Serving Communities, LLC | Homemaker | 204 E Ave South, Hollandale, MS 38748 | 2007-04-19 |
| 1336263805 | Thomas Hassett | Pharmacist | 100 West Washington Street, Hollandale, MS 38748 | 2007-03-19 |
| 1245290451 | Hollandale Family Care, P.C. | Clinic/Center | 1257 Highway 61 South, Hollandale, MS 38748 | 2006-03-23 |
| 1174528616 | Hollandale Primary Care, Inc. | Clinic/Center | 1257 Hwy 61 South, Hollandale, MS 38748 | 2005-06-20 |
| 1316314396 | Delta Health Center, Inc. | Clinic/Center | 100 East Washington Street, Hollandale, MS 38748 | 2015-08-26 |
| 1558455907 | City Drug Store,inc | Pharmacist | 100 W. Washington St, Hollandale, MS 38748-0426 | 2006-10-02 |
| Find all providers in zip 38748 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918278 | Lincoln Dental Arts, Pllc | Dentist | 4301 Lincoln Rd # 20, Hattiesburg, MS 39402-3036 | 2020-09-30 |
| 1528671971 | Arthur Cooper | Dentist | 3999 N Gloster St Ste D, Tupelo, MS 38804-0950 | 2020-08-26 |
| 1124630462 | Elite Practice Management | Dentist | 7185 Crape Myrtle Dr, Olive Branch, MS 38654-1971 | 2020-08-18 |
| 1568071975 | Patrick Burns | Dentist | Tallahatchie County Correctional, 415 Us 49, Tutwiler, MS 38963 | 2020-07-31 |
| 1619595295 | Charles Austin Huffman | Dentist | 1189 E County Line Rd, Jackson, MS 39211-1836 | 2020-07-09 |
| 1841815362 | Payalben Baldev Patel | Dentist | 117 Fontanelle Blvd, Madison, MS 39110-6846 | 2020-06-10 |
| 1760003644 | Phillip John Sheridan | Dentist | Keesler Air Force Base, 301 Fisher St, Biloxi, MS 39534-2508 | 2020-05-01 |
| 1205465044 | Loggan Malone | Dentist | 2808 Us-90 W, Gautier, MS 39553 | 2020-04-03 |
| 1972146728 | David M. Perez, Dmd, P.C. | Dentist | 4600 Hardy St Ste 31a, Hattiesburg, MS 39402-1349 | 2019-10-24 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| Find all providers with the same taxonomy | ||||
| City | HOLLANDALE |
| Zip Code | 38748 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.