Provider Demographics
NPI:1508951286
Name:ALFORD, KARA MILES (DMD)
Entity Type:Individual
Prefix:DR
First Name:KARA
Middle Name:MILES
Last Name:ALFORD
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:MILES
Other - Last Name:ROWAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:233 WOODLAND STREET
Mailing Address - Street 2:
Mailing Address - City:MORTON
Mailing Address - State:MS
Mailing Address - Zip Code:39117
Mailing Address - Country:US
Mailing Address - Phone:601-732-6200
Mailing Address - Fax:601-469-8294
Practice Address - Street 1:233 WOODLAND STREET
Practice Address - Street 2:
Practice Address - City:MORTON
Practice Address - State:MS
Practice Address - Zip Code:39117
Practice Address - Country:US
Practice Address - Phone:601-732-6200
Practice Address - Fax:601-469-8294
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS3008-971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS003576323Medicaid