Lyndon Craig Alford, D.M.D.
Individual provider Active NPI General Practice Dentistry · North Charleston, SC
NPI 1841370533 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1841370533
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 3097 (SC)
- Practice address
- 8730 Northpark Blvd
Building 1; Suite a
North Charleston, SC 29406-9265 - Phone
- (843) 572-1033
- Fax
- (843) 572-0211
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3097 | SC | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3097 | SC | Yes |
Addresses
Primary practice location
8730 Northpark Blvd
Building 1; Suite a
North Charleston, SC 29406-9265
Mailing address
8730 Northpark Blvd
Building 1; Suite a
North Charleston, SC 29406-9265
Phone (843) 572-1033
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z30976 | Medicaid | SC |
Other providers in North Charleston, SC
- Francis Akom
- Alala LLC
- Melissa Alden
- Eve L Alexander
- Jordan T Alexander
- Lara J Alicea
- Alight Behavioral Therapy SC LLC
- All Smiles Family Dentistry, LLC
- Ashley Nix Allen
- Christina M Allen
All providers in North Charleston, SC · General Practice Dentistry in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.