Healthcare Provider Details

I. General information

NPI: 1093801490
Provider Name (Legal Business Name): TAMEKO LASHON ALFORD DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 N SALISBURY ST
LEXINGTON NC
27292-3548
US

IV. Provider business mailing address

991 W HUDSON BLVD
GASTONIA NC
28052-6430
US

V. Phone/Fax

Practice location:
  • Phone: 843-448-3810
  • Fax: 843-445-9206
Mailing address:
  • Phone: 704-853-5048
  • Fax: 704-671-1404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number8506
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: