DR. KELLY WILKES FORD (NPI# 1760534283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760534283 |
| Entity Type | Individual |
| Full Name | DR. KELLY WILKES FORD |
| Credential | DMD |
| Practice Address |
321 N Laurel St Summerville SC 29483 |
| Practice Telephone | 8438716636 |
| Practice Fax Number | 8437479021 |
| Mailing Telephone | 8438716636 |
| Mailing Fax Number | 8437479021 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
3045 | SC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598388522 | Kelly E Ford | Registered Nurse | 382 Hillsdale Cir, Wadsworth, OH 44281-1008 | 2020-05-26 |
| 1861753576 | Kelly Nicole Ford | Social Worker | 5157 Business 220, Bedford, PA 15522 | 2012-05-30 |
| 1093948622 | Kelly Ford | Specialist/Technologist, Other | 2200 E Parrish Ave., Bldg B, Ste 203, Owensboro, KY 42303 | 2009-08-31 |
| 1891342523 | Kelly Ford | Behavior Technician | 109 Oak St Ste 103, Newton, MA 02464-1493 | 2019-08-19 |
| 1407325426 | Kelly Nicole Ford | Physical Therapy Assistant | 1893 Ne Miami Gardens Dr, Miami, FL 33179-5035 | 2018-11-20 |
| 1568918621 | Kelly Ford | Counselor | 720 Se Washington St, Hillsboro, OR 97123-4230 | 2016-08-29 |
| 1013378363 | Kelly Ford | Counselor | 4923 Main St, Downers Grove, IL 60515-3654 | 2016-03-15 |
| 1205268604 | Kelly T Ford | Social Worker | 5 Linsley St, North Haven, CT 06473-2518 | 2013-08-07 |
| 1760826788 | Kelly Ford | Radiology | 7695 Poplar Pike Ste 101, Germantown, TN 38138-5947 | 2013-04-21 |
| 1851669196 | Kelly Ann Ford | Physical Therapist | 300 Wyoming Ave, Wyoming, PA 18644-1695 | 2011-12-01 |
| Street Address |
321 N LAUREL ST |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801895115 | Kelly W. Ford, D.m.d, Mh. Spa | Dentist | 321 N Laurel St, Summerville, SC 29483 | 2005-07-19 |
| 1073929063 | Veronica Guy | Dentist | 321 N Laurel St, Summerville, SC 29483 | 2014-07-10 |
| 1558433581 | John Common | Dentist | 321 N Laurel St, Summerville, SC 29483-6546 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764347 | Catherine M Bixler | Counselor | 314 W 4th St N, Summerville, SC 29483 | 2020-09-09 |
| 1255979431 | Jeanette Louise Virden | Counselor | 200 E 5th North Street, Summerville, SC 29483 | 2019-12-18 |
| 1912477415 | Kaylee Lobo | Nurse Practitioner | 203 Pavilion Street, Summerville, SC 29483 | 2018-11-28 |
| 1962981142 | Jackson Pediatric Dentistry of Summerville | Dentist | 405 West 4th Street North, Summerville, SC 29483 | 2018-08-09 |
| 1558885483 | Allied Medical Respiratory | Durable Medical Equipment & Medical Supplies | 200 W 5th North Street, Summerville, SC 29483 | 2017-08-02 |
| 1336671296 | Natalie M Clark | Specialist/Technologist | 102 Green Wave Boulevard, Dorchester School District Two, Summerville, SC 29483 | 2017-03-30 |
| 1649701897 | Usv Optical Inc. | Technician/Technologist | 1035 Jockey Ct., Summerville, SC 29483 | 2017-03-21 |
| 1497113617 | Roper Saint Francis Physicians Network | Surgery | 1112 N Main St Ste C, Summerville, SC 29483 | 2016-02-02 |
| 1083000798 | Andrea Sartori | Clinical Neuropsychologist | 107 W 5th North St Ste 102, Summerville, SC 29483 | 2015-04-09 |
| 1376931626 | Wendy Davis-jones | Home Health Aide | 203 Lakepointe Ave, Summerville, SC 29483 | 2015-01-08 |
| Find all providers in zip 29483 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| 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 structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104935717 | David West Ivey | Dentist | 107 West Sixth North Street Suite 102, Summerville, SC 29483 | 2006-08-29 |
| 1801895115 | Kelly W. Ford, D.m.d, Mh. Spa | Dentist | 321 N Laurel St, Summerville, SC 29483 | 2005-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851918882 | E.l. Centre Pointe Professional LLC | Dentist | 4965 Centre Pointe Dr Ste 100, North Charleston, SC 29418-6945 | 2020-06-25 |
| 1568084408 | Diane Jenkins Periodontics of Congaree, LLC | Dentist | 600 Congaree Rd, Greenville, SC 29607-3518 | 2020-05-14 |
| 1275016263 | R.e. Offutt, Dds, Ms and B.l. Cockerham Dds, Msp, Pllc | Dentist | 929 Market St, Fort Mill, SC 29708 | 2018-09-14 |
| 1447769831 | Beaufort Oral and Facial Surgery, LLC | Dentist | 968 Ribaut Rd Ste 3, Beaufort, SC 29902-8002 | 2017-09-28 |
| 1487184727 | Hillary Nona Wright | Dentist | 1064 Gardner Rd Ste 110, Charleston, SC 29407-5711 | 2017-06-19 |
| 1649725102 | Carolina Periodontics & Dental Implants | Dentist | 112 W Broad St Unit 405, Greenville, SC 29601-2688 | 2016-08-24 |
| 1649630492 | Samir Dilip Patel | Dentist | 342 Patricia Ln Ste 103, Fort Mill, SC 29708-6608 | 2016-03-07 |
| 1225410558 | Happy Teeth Happy Kids, LLC | Dentist | 3074 Deville St, Myrtle Beach, SC 29577-1569 | 2015-06-23 |
| 1750783338 | Frank C. Sparacino Dds Mhs PC | Dentist | 8800 Northpark Blvd, North Charleston, SC 29406-9226 | 2014-09-25 |
| 1346682754 | Tyresia Jovon White | Dentist | 440 Society Hill Dr Ste 201, Aiken, SC 29803 | 2013-07-25 |
| Find all providers with the same taxonomy | ||||
| City | SUMMERVILLE |
| Zip Code | 29483 |
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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.