| Ford Dental Care | |
|
125 N Rust Ave Gentry AR 72734 | |
| (479) 736-8789 | |
| (479) 736-5011 |
| Full Name | Ford Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 125 N Rust Ave, Gentry, Arkansas |
| Authorized Official Name and Position | Jerry Derek Ford (PRESIDENT) |
| Authorized Official Contact | 4794649669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ford Dental Care 125 N Rust Ave Gentry AR 72734 Ph: (479) 736-8789 | Ford Dental Care 125 N Rust Ave Gentry AR 72734 Ph: (479) 736-8789 |
| NPI Number | 1124182142 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124182142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3095 (Arkansas) | Primary |
Gentry Family Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 E Main, Gentry, AR 72734 Phone: 479-736-2800 |