Kelly W. Ford, D.M.D, Mh. Spa in Summerville - Periodontics
Kelly W. Ford, D.M.D, Mh. Spa - NPI 1801895115
Kelly W. Ford, D.M.D, Mh. Spa is a Periodontics in Summerville, South Carolina. Kelly W. Ford, D.M.D, Mh. Spa practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Kelly W. Ford, D.M.D, Mh. Spa is 1801895115. The last update date is 2020-08-22.
Kelly W. Ford, D.M.D, Mh. Spa's current location address is 321 N Laurel St, Summerville, South Carolina. You can contact this provider via phone number 8438716636. The mailing address for Kelly W. Ford, D.M.D, Mh. Spa is 321 N Laurel St, Summerville, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kelly W. Ford, D.M.D, Mh. Spa |
|---|---|
| Address | 321 N Laurel St, Summerville, South Carolina |
| Phone Number | 8438716636 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Ford W Kelly |
| Credentials | DMD |
| Telephone Number | 8438716636 |
NPI Number Detail
| NPI Number | 1801895115 |
|---|---|
| Provider Enumeration Date | 2005-07-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 321 N Laurel St |
|---|---|
| City | Summerville |
| State | South Carolina (SC) |
| Post Code | 294830 |
| Phone Number | 8438716636 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 3045 |
|
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique identifier code issued to Kelly W. Ford, D.M.D, Mh. Spa by the Centers for Medicare & Medicaid Services?
The Kelly W. Ford, D.M.D, Mh. Spa has been assigned the NPI (National Provider Identifier) 1801895115. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kelly W. Ford, D.M.D, Mh. Spa's physical address?
The Kelly W. Ford, D.M.D, Mh. Spa is physically located at 321 N Laurel St, in the city of Summerville, SC, with the postal code 294830.
What is the Kelly W. Ford, D.M.D, Mh. Spa's specialty and taxonomy code?
The Kelly W. Ford, D.M.D, Mh. Spa's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1801895115 to Kelly W. Ford, D.M.D, Mh. Spa?
The Centers for Medicare & Medicaid Services originally issued the 1801895115 to Kelly W. Ford, D.M.D, Mh. Spa on 2005-07-19.
As of what date was the information regarding Kelly W. Ford, D.M.D, Mh. Spa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kelly W. Ford, D.M.D, Mh. Spa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.