Alex Provo is a Ada, Minnesota based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Alex Provo is
D13521 for Dentistry in Minnesota. His current practice location is
200 E Main St, Ada. Patients can reach him at
218-784-7119.
Alex Provo is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Alex Provo speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Alex Provo |
| Specialization: | Dentist |
| Gender: | Male |
| Accepts Medicare Assignment: | No |
| Practice Address: | 200 E Main St, Ada,
Minnesota, 56510-1354 |
| Phone: | 218-784-7119 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1750762555 |
| NPI Enumeration Date: | 17 Jun, 2015 |
| NPI Last Update On: | 17 Jun, 2015 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Alex Provo are as mentioned below.
| License Number | Specialization | State | Status | |
| D13521 | Dentistry | Minnesota | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 18185 Park Dr,
Detroit Lakes, Minnesota |
| Zip: | 56501-7977 |
Patients can reach Alex Provo at
200 E Main St, Ada, Minnesota or can
call to book an appointment on 218-784-7119.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.