Provider Demographics
NPI:1679597488
Name:FLIGELMAN, ALEXANDER (DMD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:
Last Name:FLIGELMAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 KASI CIR
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-1652
Mailing Address - Country:US
Mailing Address - Phone:215-444-0737
Mailing Address - Fax:
Practice Address - Street 1:3162 RICHMOND ST FL 1
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19134-5827
Practice Address - Country:US
Practice Address - Phone:215-739-8008
Practice Address - Fax:215-739-8022
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA030964122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist