MEDICARE: RAYFORD CHARLES ALVA DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	122300000X	Dentist	2901601408	MI

General Provider Information

NPI Number	:	1659017267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAYFORD CHARLES ALVA DDS

Provider Business Mailing Address
First Line	:	1817 M 139
Second Line	:
City	:	BENTON HARBOR
State	:	MI
Zip	:	49022-6103
Country	:	US
Telephone Number	:	630-272-5645
Fax Number	:

Provider Business Practice Location Address
First Line	:	1817 M 139
Second Line	:
City	:	BENTON HARBOR
State	:	MI
Zip	:	49022-6103
Country	:	US
Telephone Number	:	269-487-3139
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2022
Last Update Date	:	09/21/2022

Similar Medicare Providers

1205770013 — ANUOLUWAPO SHADAMORO DMD
Practice Location Address:

1817 M 139
BENTON HARBOR, MI
49022-6103

Practice Phone: 269-487-3139
Practice Fax:

1548127673 — FOLASADE OLAIDE OLURANKINSE
Practice Location Address:

1817 M 139
BENTON HARBOR, MI
49022-6103

Practice Phone: 269-487-3139
Practice Fax:

1457704975 — MEDEXPRESS URGENT CARE, PC - MICHIGAN
Practice Location Address:

1803 M 139
BENTON HARBOR, MI
49022-6103

Practice Phone: 269-934-8550
Practice Fax: 269-934-8660

1528919925 — LILY CHAN-ZAFER PA-C
Practice Location Address:

1803 M 139
BENTON HARBOR, MI
49022-6103

Practice Phone: 269-487-3021
Practice Fax:

1942304761 — NEW JERSEY CVS PHARMACY LLC
Practice Location Address:

6103 W JERSEY AVE
EGG HARBOR TOWNSHIP, NJ
08234-5249

Practice Phone: 609-484-5918
Practice Fax:

1730783812 — KARIM E METWALLY RPH
Practice Location Address:

6103 W JERSEY AVE
EGG HARBOR TOWNSHIP, NJ
08234-5249

Practice Phone: 609-484-5918
Practice Fax:

Directions to “ RAYFORD CHARLES ALVA DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.