Provider Demographics
NPI:1245473198
Name:CRANFORD, ALEXANDER DAVIS (DMD, MS)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:DAVIS
Last Name:CRANFORD
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Gender:M
Credentials:DMD, MS
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Mailing Address - Street 1:91 JEFFERSON PKWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30263-5813
Mailing Address - Country:US
Mailing Address - Phone:770-251-4444
Mailing Address - Fax:770-251-4494
Practice Address - Street 1:91 JEFFERSON PKWY
Practice Address - Street 2:SUITE B
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30263-5813
Practice Address - Country:US
Practice Address - Phone:770-251-4444
Practice Address - Fax:770-251-4494
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-08
Last Update Date:2010-01-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL54051223X0400X
GA133151223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics