Dr. Jerry Derek Ford , DDS
Dentist - General Practice • Gentry, AR
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jerry Ford has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jerry Ford, DDS was a registered Dentist - General Practice practicing in Gentry, AR. Throughout an active medical career spanning 1 years, Dr. Ford provided care at the practice location at 125 NORTH RUST AVE until profile deactivation on 2006-03-23.
Practice Location & Contact Primary Location
125 North Rust Ave
Gentry, AR 72734
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Gentry, AR
Practicing in Gentry, AR (909 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 125 NORTH RUST AVE, GENTRY, AR 72734 (Tel: 4797368789)
Registered at PO BOX 1290, GENTRY, AR 727341290 (Tel: 4797368789)
Recorded as JERRY FORD, DDS
Dentist (License #3095 in AR)
Record officially reactivated for active practice on April 10, 2006
Record deactivated on March 23, 2006
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 1290
Gentry, AR 727341290
Phone: 4797368789
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