Individual ProviderAlexandra KrishnanDentistDental ProvidersPractice Address1700 Baltimore Pike, Hanover, PA 17331-8440(717) 634-5778PECOS EnrollmentBased on the most recent information from CMS, provider Alexandra Krishnan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:14 PM.Profile DetailsProvider ID1407340789Provider TypeIndividualFull NameKrishnan, AlexandraCredentialDMDGenderFemaleSole ProprietorYesEnumeration Date6/19/2018Last Updated12/1/2020Contact InformationPractice LocationPractice Address1700 Baltimore Pike, Hanover, PA 17331-8440Phone(717) 634-5778FaxUnlisted FaxMailing LocationMailing Address1700 Baltimore Pike, Hanover, PA 17331-8440Phone(717) 634-5778FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicenseDS041729Pennsylvania