Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699858001 Individual Practitioner Male Practitioner

Dr. Jackson D Fordham , DMD

Dentist • Dublin, GA

Professional Overview & Biography Verified Profile Summary

Dr. Jackson Fordham, DMD is a registered healthcare professional specializing in Dentist in Dublin, GA. Practice services are available at 204 FAIRVIEW PARK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

204 Fairview Park Dr

Dublin, GA 310212547

Telephone 4782724051
Fax 4782723310

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Dublin, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
8 Specialists

Practicing in Dublin, GA (2164 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License GA 9503

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Richard Clardy , DMD

Dentist - General Practice

NPI 1578543765

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 20, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 20, 2016

Registered at 204 FAIRVIEW PARK DR, DUBLIN, GA 310212547 (Tel: 4782724051)

📍
Updated Business Mailing Address June 20, 2016

Registered at 204 FAIRVIEW PARK DR, DUBLIN, GA 310212547 (Tel: 4782724051)

👤
Provider Name / Credentials Updated June 20, 2016

Recorded as JACKSON FORDHAM, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2016

Dentist (License #9503 in GA)

🟢
Initial NPI Registration & Enumeration October 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699858001
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 23, 2006
Last Update: June 20, 2016
Sole Proprietor: Yes

Mailing Address

204 Fairview Park Dr

Dublin, GA 310212547

Phone: 4782724051

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.