DR. JACQUELINE ALFORD (NPI# 1275935702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275935702 |
Entity Type | Individual |
Full Name | DR. JACQUELINE ALFORD |
Other Name | DR. JACQUELINE RINEHART |
Credential | DMD |
Practice Address |
4417 W Gore Blvd Ste 11 Lawton OK 73505-6019 |
Practice Telephone | 5802488418 |
Practice Fax Number | 5802484118 |
Mailing Telephone | 5802488418 |
Mailing Fax Number | 5802484118 |
Enumeration Date | 2014-09-16 |
Last Update Date | 2016-05-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223G0001X |
Dentist Specialization: General Practice |
6656 | OK | Dental Providers |
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
95 | OK | Dental Providers |
Street Address |
4417 W GORE BLVD STE 11 |
City | LAWTON |
State | OK |
Zip Code | 73505-6019 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609879899 | Ross Hensley | Dermatology | 4417 W Gore Blvd, Ste 7, Lawton, OK 73505-5978 | 2005-05-23 |
1932546389 | Christopher Alexander Larrow | Dentist | 4417 W Gore Blvd, Ste 11, Lawton, OK 73505-6019 | 2013-05-24 |
1518243096 | Magdalena B Sikora Md PC | Clinic/Center | 4417 W Gore Blvd, Suite 1, Lawton, OK 73505-5978 | 2011-10-27 |
1790916922 | Debra A Crawford, Do LLC | Obstetrics & Gynecology | 4417 W Gore Blvd, Ste 3, Lawton, OK 73505-5978 | 2009-08-05 |
1689863946 | Comanche Nephrology PC | Internal Medicine | 4417 W Gore Blvd, Suite 1, Lawton, OK 73505-5978 | 2007-10-23 |
1194858720 | Jeffrey L Zweig Md PC | Obstetrics & Gynecology | 4417 W Gore Blvd, Ste 3, Lawton, OK 73505-5978 | 2007-03-13 |
1598896110 | Magdalena Barbara Sikora | Internal Medicine | 4417 W Gore Blvd, Suite 1, Lawton, OK 73505-5978 | 2007-03-07 |
1568590784 | Dan Horton, M.d., Inc. | Clinic/Center | 4417 W Gore Blvd, Suite 6, Lawton, OK 73505-5978 | 2007-03-01 |
1457448698 | Wavel L. Wells, Dds, Inc | Dentist | 4417 W Gore Blvd, Suite 11, Lawton, OK 73505-5978 | 2006-10-09 |
1467551150 | Nicholas Joseph Chelenza Jr. | Dentist | 4417 W Gore Blvd, Suite 11, Lawton, OK 73505-5978 | 2006-09-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
Find all providers in zip 73505 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376642041 | Wavel Lou Wells | Dentist | 4417 W Gore Blvd Ste 11, Lawton, OK 73505-5978 | 2006-09-21 |
1316435985 | Sarah Katherine Lee | Dentist | 4417 W Gore Blvd Ste 11, Lawton, OK 73505-5978 | 2018-04-28 |
1932546389 | Christopher Alexander Larrow | Dentist | 4417 W Gore Blvd, Ste 11, Lawton, OK 73505-6019 | 2013-05-24 |
1467551150 | Nicholas Joseph Chelenza Jr. | Dentist | 4417 W Gore Blvd, Suite 11, Lawton, OK 73505-5978 | 2006-09-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164042990 | Karnish Pediatric Dentistry | Dentist | 1414 N Kennedy Ave Ste 101, Shawnee, OK 74801-4761 | 2020-04-22 |
1932684297 | Jemima Poitevien, D.d.s., P.l.l.c. | Dentist | 4225 W Memorial Rd Ste 101-b, Oklahoma City, OK 73134-1761 | 2018-10-02 |
1275057887 | Bobby D. Cheatham,d.d.s.,pc | Dentist | 2800 N Kelly Ave Ste 200, Edmond, OK 73003-3004 | 2017-07-26 |
1760864235 | Pediatric Dental Group II, LLC | Dentist | 7715 E 91st St Ste A, Tulsa, OK 74133-6060 | 2015-06-22 |
1093062911 | Pediatric Dental Partners Pllc | Dentist | 5940 Nw Expressway Ste 200, Oklahoma City, OK 73132-5101 | 2012-08-09 |
1235419409 | Edmond Pediatric and Teen Dentistry | Dentist | 3824 S. Boulevard, Suite 110, Edmond, OK 73013 | 2011-08-19 |
1508023383 | Thai-an Doan D.d.s. P.C. | Dentist | 11318 N May Ave, Suite B, Oklahoma City, OK 73120-5860 | 2008-05-20 |
1104091479 | Martha L Garzon Dmd, Ms | Dentist | 609 S Kelly Ave Ste C1, Edmond, OK 73003-5743 | 2008-04-28 |
1881868719 | Jeffrey J. Ahlert, D.d.s., P.l.l.c. | Dentist | 3614 Se Kentucky St, Bartlesville, OK 74006-2323 | 2008-04-22 |
1194900555 | Chanda A. Kennemer, Dds, PC | Dentist | 1405 S Sangre Rd, Stillwater, OK 74074-1832 | 2008-01-04 |
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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.