NPI 1073017158

Tiffany Alexander

Practitioner Dental Assistant Ft Polk, LA

Practice location

Address: 1561 Mississippi Ave, Ft Polk, LA 71459
Phone: (337) 531-2121
Mailing address: 234 Stanley Rd, Leesville, LA 71446-2134

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

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Registry record

NPI: 1073017158
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Mar 2018
Record last updated: 22 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.