# LORA B. FORD DDS, MS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255612479
- **Authorized official:** DR. LORA B FORD DDS, MS (ENDODONTIST/OWNER)
- **Authorized official phone:** (304) 690-1124

## Contact information

- **Practice address:** 112 MORRIS ST, CHARLESTON, WV 25301-2911
- **Practice address phone:** (304) 343-2799
- **Practice address fax:** (304) 345-5114
- **Mailing address:** 112 MORRIS ST, CHARLESTON, WV 25301-2911
- **Mailing address phone:** (304) 343-2799
- **Mailing address fax:** (304) 345-5114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 3581 | WV | Yes |

## Other

- **Enumeration date:** 09/01/2011
- **Last updated:** 09/01/2011