Provider Demographics
NPI:1366953044
Name:ANNETTE M ALFORD, DMD PC
Entity type:Organization
Organization Name:ANNETTE M ALFORD, DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALFORD
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:303-870-9345
Mailing Address - Street 1:6650 S VINE ST STE L-20
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80121-2773
Mailing Address - Country:US
Mailing Address - Phone:303-795-6767
Mailing Address - Fax:
Practice Address - Street 1:6650 S VINE ST STE L-20
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80121-2773
Practice Address - Country:US
Practice Address - Phone:303-795-7674
Practice Address - Fax:303-794-8947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-20
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QD0000X
CO7632261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO7632OtherLICENSE