# FORD & ASSOCIATES FAMILY DENTISTRY PLLC

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

## Provider details

- **NPI number:** 1457692238
- **Authorized official:** DR. JASON ANTHONY FORD D.M.D. (MEMBER)
- **Authorized official phone:** (502) 348-9400

## Contact information

- **Practice address:** 115 E FLAGET ST, BARDSTOWN, KY 40004-1517
- **Practice address phone:** (502) 348-9400
- **Practice address fax:** (502) 348-9520
- **Mailing address:** 115 E FLAGET ST, BARDSTOWN, KY 40004-1517
- **Mailing address phone:** (502) 348-9400
- **Mailing address fax:** (502) 348-9520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 9028 | KY | Yes |

## Other

- **Enumeration date:** 03/05/2013
- **Last updated:** 03/05/2013