Provider Demographics
NPI:1427072099
Name:ALFORD, BRIAN ASHLEY (DDS)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:ASHLEY
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 1:1501 HANDLEY DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76112-3328
Mailing Address - Country:US
Mailing Address - Phone:817-457-4141
Mailing Address - Fax:817-457-4142
Practice Address - Street 1:1501 HANDLEY DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76112-3328
Practice Address - Country:US
Practice Address - Phone:817-457-4141
Practice Address - Fax:817-457-4142
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX200941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice