Provider Demographics
NPI:1548598683
Name:DRAKEFORD, ASHLEA M (DDS)
Entity Type:Individual
Prefix:DR
First Name:ASHLEA
Middle Name:M
Last Name:DRAKEFORD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5365 SPRING VALLEY RD STE 130
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-3003
Mailing Address - Country:US
Mailing Address - Phone:972-386-4999
Mailing Address - Fax:972-386-4964
Practice Address - Street 1:5365 SPRING VALLEY RD
Practice Address - Street 2:STE. 130
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-3097
Practice Address - Country:US
Practice Address - Phone:972-386-4999
Practice Address - Fax:972-386-4964
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-01
Last Update Date:2013-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX250881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice