Dr Kelly Drew Alexander Jr, DDS is a
Dentist based in Hollandale, Mississippi. Dr Kelly Drew Alexander Jr is licensed to practice in Mississippi (license number 104962) and his current practice location is
104 E Washington St, Hollandale, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(662) 827-2922.
NPI number for Dr Kelly Drew Alexander Jr is 1598776924 and his current mailing address is 104 E Washington St, Hollandale, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1598776924.
Healthcare Provider's Profile
| Full Name | Dr Kelly Drew Alexander Jr |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 104 E Washington St, Hollandale, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1598776924
- Provider Enumeration Date: 08/10/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Kelly Drew Alexander Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598776924 | NPI | - | NPPES |
| 00060035 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 104962 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kelly Drew Alexander Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kelly Drew Alexander Jr, DDS
104 E Washington St,
Hollandale, MS 38748
Ph: (662) 827-2922 | Dr Kelly Drew Alexander Jr, DDS
104 E Washington St,
Hollandale, MS 38748
Ph: (662) 827-2922 |
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