Alford, Leroy Bertram
Alford, Leroy Bertram is an individual health care provider with primary practice located at 10 Legacy Way Suite C, Adairsville GA 30103-2461. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Alford, Leroy Bertram can be contacted via phone (770) 773-7227.Contact Information
Primary practice address
10 Legacy Way Suite C
Adairsville GA 30103-2461
Phone: (770) 773-7227
Fax: (706) 291-0684
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 008829 | Georgia |
Profile Details
| NPI number | 1750524765 |
|---|---|
| LBN Legal business name | Alford, Leroy Bertram |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2009 |
| Last updated | Mar 3rd, 2010 - about 14 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 | 1750524765 | NPPES |
| Georgia | MEDICAID | 00186876B |
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