Jerry Derek Ford in Gentry - General Practice
Jerry Derek Ford - NPI 1487646022
Jerry Derek Ford is a General Practice in Gentry, Arkansas. Jerry Derek Ford practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jerry Derek Ford is 1487646022. The last update date is 2007-07-08.
Jerry Derek Ford's current location address is Po Box 1290, Gentry, Arkansas. You can contact this provider via phone number 4797368789 and fax number 4797365011. The mailing address for Jerry Derek Ford is Po Box 1290, Gentry, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Derek Ford |
|---|---|
| Address | Po Box 1290, Gentry, Arkansas |
| Phone Number | 4797368789 |
| Fax Number | 4797365011 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1487646022 |
|---|---|
| Provider Enumeration Date | 2005-08-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 1290 |
|---|---|
| City | Gentry |
| State | Arkansas (AR) |
| Post Code | 727341290 |
| Phone Number | 4797368789 |
| Fax Number | 4797365011 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 3095 |
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Definition: 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. |
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Post Comment/ Review Below
What is the Jerry Derek Ford's unique identification number?
The Jerry Derek Ford has been assigned the NPI (National Provider Identifier) Number 1487646022 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Jerry Derek Ford is physically located?
The Jerry Derek Ford is situated at the following address: Po Box 1290, Gentry, AR 727341290.
What is the Jerry Derek Ford's area of specialization and corresponding taxonomy classification?
The Jerry Derek Ford's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
When did the Jerry Derek Ford receive its 1487646022?
The Jerry Derek Ford was issued its 1487646022 on 2005-08-19, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Jerry Derek Ford last refreshed?
The information related to the Jerry Derek Ford, including its address, specialty, and other relevant details, was last updated on 2007-07-08.