CANDACE ALEXANDER, (DDS) — NPI 1720219660 (Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) in CONYERS, GA)

CMS-1500 Box 24J / 33a • NPI

1720219660

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

122300000X (CMS C5)

Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)

Box 32 Service Location & ZIP+4

863 FLAT SHOALS RD SE, SUITE C #220, CONYERS, GA, 30094

Official NPPES Practice Location

Practice Phone & Referral Fax

(301) 580-5838

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1720219660 (CANDACE ALEXANDER, (DDS)) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Medicare Part B

✓ Eligible

DMEPOS Ordering

✓ Eligible

Home Health (HHA)

Power Mobility

Hospice Referring

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1720219660)

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic Medication	Total Claims	Patients
Amoxicillin Amoxicillin	15	14

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1720219660` (NPI-1 Individual Practitioner)
Provider / Legal Name	CANDACE ALEXANDER, (DDS)
Plain-English Specialty	Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) NUCC Code: `122300000X` (Dentist)
Certifying / Licensing Body	American Dental Association (ADA) / State Board of Dental Examiners
Practice Location Address	863 FLAT SHOALS RD SE, SUITE C #220, CONYERS, GA, 30094
Practice Telephone / Fax	Tel: (301) 580-5838
Administrative Mailing Address	863 FLAT SHOALS RD SE SUITE C #220, CONYERS, GA, 30094
Enumeration & Last Sync	Enumerated: 2009-07-27 \| CMS Record Updated: 2023-12-18

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

863 FLAT SHOALS RD SE, SUITE C #220, CONYERS, GA, 30094

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Plain-English Taxonomy & CMS Crosswalk (122300000X)

What Does Taxonomy Code 122300000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 122300000X translates to:
"Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code C5 (Dentist)
Certifying / Accrediting Authority: American Dental Association (ADA) / State Board of Dental Examiners
Clinical Scope: Routine 6-month dental checkups, toothache, dental abscess, bleeding gums (periodontitis), or wisdom tooth extraction.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CANDACE ALEXANDER, (DDS))

Typical CPT / Diagnostic Procedures:

Comprehensive Oral Evaluation, Digital Dental Radiographs & Prophylaxis
Restorative Composite Fillings, Crowns, Endodontic Root Canal & Extractions

Common Therapeutic Classes:

Amoxicillin, Metronidazole & Clindamycin (Odontogenic Infections)
Chlorhexidine Gluconate 0.12% Oral Rinse & High-Fluoride Varnish

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`122300000X` — Dentist Plain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)	State: GA \| License: `DN014520` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CANDACE ALEXANDER, (DDS) (NPI #1720219660)