Jerry Derek Ford, DDS | |
125 North Rust Ave, Gentry, AR 72734 | |
(479) 736-8789 | |
(479) 736-5011 |
Full Name | Jerry Derek Ford |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 125 North Rust Ave, Gentry, Arkansas |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487646022 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 3095 (Arkansas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jerry Derek Ford, DDS Po Box 1290, Gentry, AR 72734-1290 Ph: (479) 736-8789 | Jerry Derek Ford, DDS 125 North Rust Ave, Gentry, AR 72734 Ph: (479) 736-8789 |
Alan L Lamb, DDS Dentist Medicare: Medicare Enrolled Practice Location: 304 E Main, Gentry, AR 72734 Phone: 479-736-2800 Fax: 479-736-3212 | |
Dr. Scott David Stubbs, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 304 East Main, Gentry, AR 72734 Phone: 479-736-2800 |