| Jonathan H Ford Dds Inc | |
|
5355 Warner Ave Ste 101 Huntington Beach CA 92649-6040 | |
| (714) 409-6161 | |
| (714) 841-7148 |
| Full Name | Jonathan H Ford Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 5355 Warner Ave Ste 101, Huntington Beach, California |
| Authorized Official Name and Position | Jonathan Ford (OWNER) |
| Authorized Official Contact | 7148427431 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan H Ford Dds Inc 5355 Warner Ave Ste 101 Huntington Beach CA 92649-6040 Ph: (714) 409-6161 | Jonathan H Ford Dds Inc 5355 Warner Ave Ste 101 Huntington Beach CA 92649-6040 Ph: (714) 409-6161 |
| NPI Number | 1811564909 |
|---|---|
| Provider Enumeration Date | 06/07/2021 |
| Last Update Date | 01/29/2024 |
| Medicare PECOS PAC ID | 0143622118 |
|---|---|
| Medicare Enrollment ID | O20210713003244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811564909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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