Jerry Derek Ford, DDS

General Practice Dentistry · Gentry, AR

Individual Active NPI Reactivated April 10, 2006

NPI number 1487646022

Practice location

125 North Rust Ave
Gentry, AR 72734
Phone
(479) 736-8789
Fax
(479) 736-5011

Open in Google Maps

NPI record

NPI
1487646022
Entity type
Individual (Type 1)
Enumeration date
August 19, 2005
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 3095 AR

Mailing address

PO Box 1290
Gentry, AR 72734-1290
Phone
(479) 736-8789
Fax
(479) 736-5011

About Dr. Ford

Jerry Derek Ford, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 125 North Rust Ave, Gentry, AR 72734. The NPI number 1487646022 was assigned on August 19, 2005 and the record was last updated on July 8, 2007.

Dr. Ford lists a license in the registry: #3095 (AR) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jerry Derek Ford, DDS?

The NPI number is 1487646022.

What is the phone number of Dr. Ford?

The phone number listed for the practice location is (479) 736-8789.

Where is Dr. Ford located?

125 North Rust Ave, Gentry, AR 72734.

What is the taxonomy code for Dr. Ford?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Dentistry providers in Gentry

All General Practice Dentistry providers in Gentry, AR →