Provider Demographics
NPI:1174765218
Name:FIGUEROA, ALEXANDER LUIS (DMD)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:LUIS
Last Name:FIGUEROA
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 1:1220 HOBSON ROAD
Mailing Address - Street 2:SUITE 228
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540
Mailing Address - Country:US
Mailing Address - Phone:630-778-7198
Mailing Address - Fax:630-717-1808
Practice Address - Street 1:1220 HOBSON ROAD
Practice Address - Street 2:SUITE 228
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540
Practice Address - Country:US
Practice Address - Phone:630-778-7198
Practice Address - Fax:630-717-1808
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-06
Last Update Date:2011-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.027818122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist