MEDICARE: DR. ANNETTE MAE ALFORD DMD

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	1223G0001X	General Practice Dentistry	7632	CO

General Provider Information

NPI Number	:	1790702264
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNETTE MAE ALFORD DMD

Provider Business Mailing Address
First Line	:	5477 S IOLA WAY
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80111-3818
Country	:	US
Telephone Number	:	303-870-9345
Fax Number	:	303-794-8947

Provider Business Practice Location Address
First Line	:	6650 S VINE ST STE L-20
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80121-2773
Country	:	US
Telephone Number	:	303-795-7674
Fax Number	:	303-794-8947

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

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	06/17/2025

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