Individual
DR. TIMOTHY J ALFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MSD
Contact information
Practice address
3819 FAIRVIEW DR, ANDERSON, IN 46013-4059
(765) 622-7646
Mailing address
1861 N LOG CABIN DR, ANDERSON, IN 46011-9167
(765) 620-2988
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12008362A
IN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
8362
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
351680289
TAX ID
IN
Enumeration date
12/19/2006
Last updated
10/05/2023
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