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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.