Provider Demographics
NPI:1558457937
Name:ALFORD, JAMES DAVID (DDS)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:DAVID
Last Name:ALFORD
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:PO BOX 277
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:AR
Mailing Address - Zip Code:71754-0277
Mailing Address - Country:US
Mailing Address - Phone:870-234-1621
Mailing Address - Fax:870-234-8711
Practice Address - Street 1:102 W MCNEIL
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:AR
Practice Address - Zip Code:71753-2817
Practice Address - Country:US
Practice Address - Phone:870-234-1621
Practice Address - Fax:870-234-8711
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2016-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2200122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist