Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACKSON D FORDHAM, DMD
Active Sole ProprietorDR. JACKSON D FORDHAM, DMD is a Dentist healthcare provider located in DUBLIN, Georgia. NPI 1699858001 is currently active in the NPPES registry. Verify at CMS.
Dentist · DUBLIN, GA
Registration Details
- NPI Number
- 1699858001
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 23, 2006 (19.634099970859 yrs)
- Last Updated
- Jun 20, 2016
- License
-
9503 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
204 FAIRVIEW PARK DRDUBLIN, GA, 310212547Browse GA providers · Browse ZIP 31021
- Phone
- 4782724051
- Fax
- 4782723310
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in DUBLIN, GA
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN MARVIN ALFORD III | DDS | 1699720292 |
| DR. PHILLIP DERRICK HAMPTON | D.M.D. | 1710103197 |
| DR. RHONDA LYNNE LEMONS | DDS | 1962603423 |
| DR. BRANDON BROWN | DMD | 1750906103 |
| DR. ERIKA LATTIMORE AUSTIN | — | 1912632506 |
| TRISTEN JULIAN HINSON BENNETT | DMD | 1477441970 |
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.