FORD DENTAL CARE (NPI# 1124182142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124182142 |
| Entity Type | Organization |
| Organization Name | FORD DENTAL CARE |
| Practice Address |
125 N Rust Ave Gentry AR 72734 |
| Practice Telephone | 4797368789 |
| Practice Fax Number | 4797365011 |
| Mailing Telephone | 4797368789 |
| Mailing Fax Number | 4797365011 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JERRY DEREK FORD (PRESIDENT) |
| Authorized Official Telephone | 4794649669 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3095 | AR | Dental Providers |
| Street Address |
125 N RUST AVE |
| City | GENTRY |
| State | AR |
| Zip Code | 72734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831314574 | Scott David Stubbs | Dentist | 304 East Main, Gentry, AR 72734 | 2007-04-16 |
| 1760534226 | Alan L Lamb | Dentist | 304 E Main, Gentry, AR 72734 | 2007-01-17 |
| 1225080286 | Robert H Weaver | Family Medicine | 643 E Third St, Gentry, AR 72734 | 2006-05-17 |
| 1487646022 | Jerry Derek Ford | Dentist | 125 North Rust Ave, Gentry, AR 72734 | 2005-08-19 |
| 1033356472 | Gentry Family Dentistry Pllc | Dentist | 304 E Main, Gentry, AR 72734 | 2009-01-07 |
| 1609488758 | Kaylin Gene Cripps | Occupational Therapist | 302 W 2nd St, Gentry, AR 72734-5502 | 2020-08-20 |
| 1255410999 | Smith Drug Pllc | Durable Medical Equipment & Medical Supplies | 695 E 3rd St, Gentry, AR 72734-8258 | 2006-11-03 |
| 1861482739 | Catherine Elaine Casey | Nurse Practitioner | 643 E 3rd St, Gentry, AR 72734-8258 | 2005-10-24 |
| 1003388570 | Emily Smith | Pharmacist | 695 E 3rd St, Gentry, AR 72734-8258 | 2018-12-21 |
| 1205224870 | Jason R Young | Nurse Practitioner | 643 E 3rd St, Gentry, AR 72734-8258 | 2015-01-05 |
| Find all providers in zip 72734 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831314574 | Scott David Stubbs | Dentist | 304 East Main, Gentry, AR 72734 | 2007-04-16 |
| 1760534226 | Alan L Lamb | Dentist | 304 E Main, Gentry, AR 72734 | 2007-01-17 |
| 1487646022 | Jerry Derek Ford | Dentist | 125 North Rust Ave, Gentry, AR 72734 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043826944 | Atlas Dental Partners Pllc | Dentist | 3903 W Financial Pkwy, Rogers, AR 72758-1471 | 2020-09-17 |
| 1669086724 | Epic Smiles Pllc | Dentist | 310 E Centerton Blvd, Centerton, AR 72719 | 2020-09-04 |
| 1063023554 | Christopher Marshall | Dentist | 1804 Old Greensboro Rd Bldg B, Jonesboro, AR 72405-0003 | 2020-08-10 |
| 1790394393 | Robert W Bassham Dds Pa | Dentist | 669 Addison Dr, Wynne, AR 72396-1602 | 2020-07-29 |
| 1215545710 | Justin Michael Cooper | Dentist | 5008 S U St Ste 101a, Fort Smith, AR 72903-3613 | 2020-07-21 |
| 1740898584 | Jamie Beavers Dds, P.a. | Dentist | 354 Main Street, Clinton, AR 72031 | 2020-07-17 |
| 1144848490 | Abbey Lynn Norwood | Dentist | 5501 W Pinnacle Pointe Dr Ste 1, Rogers, AR 72758-8133 | 2020-07-13 |
| 1093332728 | Michael Drake | Dentist | 9601 Baptist Health Dr Ste 104, Little Rock, AR 72205-6323 | 2020-06-29 |
| 1235753682 | Drew Bannerman Dds, P.a. | Dentist | 4603 Fairway Ave, North Little Rock, AR 72116-8052 | 2020-06-02 |
| 1669021564 | Steven Michael Clark | Dentist | 1700 University Blvd Ste 105, Morrilton, AR 72110-8004 | 2019-09-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.