Individual provider · Type 1 NPI
Jerry Derek Ford, DDS
General Practice Dentistry · Gentry, AR
NPI number
1487646022
Active · reactivated Apr 10, 2006
Practice location
125 North Rust Ave
Gentry, AR 72734
Fax (479) 736-5011
Mailing address
PO Box 1290
Gentry, AR 72734-1290
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 3095 (AR) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Other general practice dentistry providers in Gentry
About NPI 1487646022
Jerry Derek Ford, DDS's National Provider Identifier is 1487646022, issued on Aug 19, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Gentry, AR. The record was last updated on Jul 8, 2007.