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DR. JAMES RICHARD FORD DDS
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1902818685
Individual Registrant:DR. JAMES RICHARD FORD DDS
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
12265 N STATE RD OTISVILLE, MI 48463-9794 US
Tel: 810-631-4573 Fax: --
Tel: 810-631-4573 Fax: --
Contact information for business:
12265 N STATE RD OTISVILLE, MI 48463-9794 US
Tel: 810-631-4573 Fax: --
Tel: 810-631-4573 Fax: --
Registration Information:
NPI: 1902818685
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | MI | 2901012572 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
