Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alex Provo

Individual provider Dentist · NPI 1750762555

Alex Provo is a Dentist in Ada, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2015
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Practice location Address checks out

200 E Main St
Ada, MN 56510-1354
Phone: (218) 784-7119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D13521 (MN)

Record details

NPI number1750762555
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 17, 2015
Last updated in NPPESJune 17, 2015