Provider Demographics
NPI:1073726527
Name:OXFORD, ALFRED BRANTLEY (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:BRANTLEY
Last Name:OXFORD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2940 SOUTHWEST DR
Mailing Address - Street 2:STE #8
Mailing Address - City:SEDONA
Mailing Address - State:AZ
Mailing Address - Zip Code:86336
Mailing Address - Country:US
Mailing Address - Phone:928-282-2946
Mailing Address - Fax:928-282-2656
Practice Address - Street 1:2940 SOUTHWEST DR
Practice Address - Street 2:STE #8
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86336
Practice Address - Country:US
Practice Address - Phone:928-282-2946
Practice Address - Fax:928-282-2656
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ25891223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics