Jerome Brian Alford in Fort Defiance - Dentist
Jerome Brian Alford - NPI 1720023989
Jerome Brian Alford is a Dentist in Fort Defiance, Arizona. Jerome Brian Alford practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jerome Brian Alford is 1720023989. The last update date is 2017-12-27.
Jerome Brian Alford's current location address is Po Box 649, Fort Defiance, Arizona. You can contact this provider via phone number 9287298000. The mailing address for Jerome Brian Alford is Po Box 649, Fort Defiance, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerome Brian Alford |
|---|---|
| Address | Po Box 649, Fort Defiance, Arizona |
| Phone Number | 9287298000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1720023989 |
|---|---|
| Provider Enumeration Date | 2006-06-19 |
| Last Updated Date | 2017-12-27 |
Provider Mailing Address Detail
| Address | Po Box 649 |
|---|---|
| City | Fort Defiance |
| State | Arizona (AZ) |
| Post Code | 865040649 |
| Phone Number | 9287298000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 4546 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 415217 | AZ | -- | |
| 000R8771 | NJ | -- |
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What is the unique 10-digit identifier code issued to Jerome Brian Alford by the Centers for Medicare & Medicaid Services?
The Jerome Brian Alford has been assigned the NPI (National Provider Identifier) 1720023989 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Jerome Brian Alford is physically located?
The Jerome Brian Alford is situated at the following address: Po Box 649, Fort Defiance, AZ 865040649.
What is Jerome Brian Alford's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jerome Brian Alford is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date was the 1720023989 assigned to Jerome Brian Alford?
The Jerome Brian Alford was issued its 1720023989 on 2006-06-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jerome Brian Alford, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jerome Brian Alford, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-12-27.