Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY DEREK FORD, DDS
DeactivatedJERRY DEREK FORD, DDS is a General Dentistry healthcare provider located in GENTRY, Arkansas. NPI 1487646022 is deactivated in the NPPES registry. Verify at CMS.
General Dentistry · GENTRY, AR
This NPI has been deactivated.
The record was deactivated on March 23, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1487646022
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 19, 2005 (0.59178082191781 yrs)
- Last Updated
- Jul 8, 2007
- Deactivated
- Mar 23, 2006
- License
-
3095 (AR)
Practice Information
- Address
-
125 NORTH RUST AVEGENTRY, AR, 72734Browse AR providers · Browse ZIP 72734
- Phone
- 4797368789
- Fax
- 4797365011
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in GENTRY, AR
| Name | Credential | NPI |
|---|---|---|
| ALAN L LAMB | DDS | 1760534226 |
| DR. SCOTT DAVID STUBBS | D.D.S. | 1831314574 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.