BLAIRE ALFORD (NPI# 1508386616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508386616 |
| Entity Type | Individual |
| Full Name | BLAIRE ALFORD |
| Credential | DMD |
| Practice Address |
380 Highway 80 E Ste A Clinton MS 39056-4748 |
| Mailing Address |
4978 Green Gable Rd Terry MS 39170-8081 |
| Practice Telephone | 6019254727 |
| Mailing Telephone | 6012602772 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3937-17 | MS | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1335 Winfield Ave, Prentiss, MS 39474 | 6017925506 |
| Street Address |
380 HIGHWAY 80 E STE A |
| City | CLINTON |
| State | MS |
| Zip Code | 39056-4748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376012724 | John Melvin Goolsby Jr. | Dentist | 457 Highway 80 East, Clinton, MS 39056 | 2018-11-15 |
| 1225534530 | Magnolia Allergy Clinic LLC | Internal Medicine | 402 Cynthia St Ste E, Clinton, MS 39056 | 2018-04-04 |
| 1578093704 | Melinda A Weisenberger | Specialist/Technologist | 4600 W Northside Drive, Clinton, MS 39056 | 2017-06-20 |
| 1962859702 | Telehealthone, LLC | Nurse Practitioner | 200 Clinton Plaza, Clinton, MS 39056 | 2016-05-23 |
| 1841686581 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 132 Fairmont Street, Suite B, Clinton, MS 39056 | 2015-04-09 |
| 1023412822 | Rebecca Brooks Prewitt | Social Worker | 130 B Fairmont Street, Clinton, MS 39056 | 2014-10-22 |
| 1396184149 | Robert Joseph Hargis | Urology | 116 Afton Way, Clinton, MS 39056 | 2013-06-14 |
| 1750626321 | Clinton Dental Care, Inc. | Dentist | 736 Clinton Pkwy, Clinton, MS 39056 | 2012-12-07 |
| 1922394469 | Daphenia C. Knight Starling | Nurse Practitioner | Clinton Healthcare, 1251 Pinehaven Rd, Clinton, MS 39056 | 2011-06-23 |
| 1134443385 | Gwendolyn Coleman Garror | Pharmacist | 132 Fairmount Drive, Clinton, MS 39056 | 2010-03-17 |
| Find all providers in zip 39056 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740898584 | Jamie Beavers Dds, P.a. | Dentist | 354 Main Street, Clinton, AR 72031 | 2020-07-17 |
| 1376012724 | John Melvin Goolsby Jr. | Dentist | 457 Highway 80 East, Clinton, MS 39056 | 2018-11-15 |
| 1811427677 | Total You Family Dentistry | Dentist | 9135 Piscataway Rd Ste 105, Clinton, MD 20735-2548 | 2017-06-14 |
| 1114386802 | Christopher A Fallago | Dentist | 8 E Main St Ste 202, Clinton, CT 06413-2058 | 2016-02-23 |
| 1245636174 | Rick Canty | Dentist | 201a S Washington St, Clinton, KY 42031-1440 | 2014-11-04 |
| 1962830349 | Drs. Roh, Park and Hwang, LLC | Dentist | 7700 Old Branch Ave Ste E102, Clinton, MD 20735-1628 | 2013-10-23 |
| 1912243247 | Clinton Dental Group, LLP | Dentist | 1737 North 2000 West, Suite G, Clinton, UT 84015 | 2012-12-13 |
| 1346504230 | Paul N Singh | Dentist | 8913 Woodyard Rd, Clinton, MD 20735-4257 | 2012-06-26 |
| 1497040489 | Beautiful Smiles, L.L.C. | Dentist | 9001 Stuart Ln, Clinton, MD 20735-2744 | 2011-06-17 |
| 1578867115 | Medical Arts Dental Group of Clinton P.a. | Dentist | 315 Morrison Dr, Clinton, MS 39056-5239 | 2010-12-22 |
| Find all providers in CLINTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.