DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BRIAN P. FORD, D.M.D., M.D.

Active Sole Proprietor

DR. BRIAN P. FORD, D.M.D., M.D. is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1578799862 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery (Physician) · PHILADELPHIA, PA

Registration Details

NPI Number
1578799862
Provider Type
Individual
Gender
Male
NPI Issued
Jun 2, 2009 (17.157635612474 yrs)
Last Updated
Sep 26, 2019
Licenses
DS037873 (PA)
DS037873 (PA)
MD456122 (PA)
Sole Proprietor
Yes

Practice Information

Address
3400 CIVIC CENTER BLVD
4TH FLOOR, SOUTH PAVILION
PHILADELPHIA, PA, 191045127
Browse PA providers · Browse ZIP 19104
Phone
2156623580
Primary Specialty
Oral & Maxillofacial Surgery (Physician)
204E00000X

Other Oral & Maxillofacial Surgery (Physician) Providers in PHILADELPHIA, PA

Name Credential NPI
DR. ALLEN F. CHAMPION DDS 1245215508
GERARD T. DOWD DDS 1598724288
DR. MARY ANNE CHECCHIO DDS 1689634602
NABIL A ABAZA DMD 1497700272
ERIC T STOOPLER DMD 1982649356
DR. DANIEL IAN TAUB DDS, MD 1609811066
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.