| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ALEXANDER TAKSHYN | 1992436646 | 2024-08-11 |
Alexander Takshyn is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1992436646. Registration indicates Alexander Takshyn is a provider of access to dental specialists services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist: Oral and Maxillofacial Surgery, ) (Dental, ) (Dentist Oral and Maxillofacial Surgery, Dental Providers) (Dentist, )
| Entity Type | Individual |
| Provider Name | Dr. Alexander Takshyn DMD |
| Practice Office Address | 1600 S ANDREWS AVE DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY FORT LAUDERDALE, FL US |
| Practice Office Telephone | 9547128349 |
| Mailing Address | 1600 S ANDREWS AVE FORT LAUDERDALE, FL 333162510 US |
| Business Telephone | 9547126895 |
| Code | Practice | License No State |
|---|---|---|
| 1223S0112X PRIMARY | Access to Dental Specialists Dental Providers Dentist Dental Providers Dentist Dentist: Oral and Maxillofacial Surgery Dental Dentist Oral and Maxillofacial Surgery Dental Providers Dentist | DRPM2511
FL |