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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720023989 | NPPES |
| Arizona | MEDICAID | 415217 | |
| Arizona | MEDICAID | 000R8771 |
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