Alford, Jerome Brian

Alford, Jerome Brian is an individual health care provider with primary practice located at Corner Of Route N12 And N7 , Fort Defiance AZ 86504-0649. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Alford, Jerome Brian can be contacted via phone (928) 729-8000.

Contact Information

Primary practice address
Corner Of Route N12 And N7 Fort Defiance AZ 86504-0649
Phone: (928) 729-8000
Fax: (928) 729-8159
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4546 Oklahoma

Profile Details

NPI number 1720023989
LBN Legal business name Alford, Jerome Brian
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Dec 27th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720023989 NPPES
Arizona MEDICAID 415217
Arizona MEDICAID 000R8771

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