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Alexandra Fanning, DDS — NPI 1265175111, Springfield, MO | NPI Central

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Alexandra Fanning, DDS

NPI 1265175111 · Dentist · Springfield, MO

Provider details

NPI number: 1265175111
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DDS
Sex: Female
Sole proprietor: Yes
License: 2021020474 (MO)

Specialties & taxonomies

DentistPrimary122300000XLicense 2021020474 (MO)
Dental Providers

Practice location

540 W Lasalle St

Springfield, MO 65807-4712

Phone: (417) 887-1220

Approximate (ZIP-level) locationGet directions

More MO providers

Mailing address

540 W Lasalle St

Springfield, MO 65807-4799

Registry dates

Enumerated: 2022-04-19
Last updated: 2025-07-23
Certified: 2025-07-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.