# ERIC D FORD DDS PLLC

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

## Provider details

- **NPI number:** 1962015347
- **Authorized official:** ERIC FORD DDS (OWNER)
- **Authorized official phone:** (304) 523-3296

## Contact information

- **Practice address:** 422 KINETIC DR STE A, HUNTINGTON, WV 25701-5268
- **Practice address phone:** (304) 523-3296
- **Practice address fax:** (304) 523-6269
- **Mailing address:** 422 KINETIC DR STE A, HUNTINGTON, WV 25701-5268
- **Mailing address phone:** (304) 523-3296
- **Mailing address fax:** (304) 523-6269

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/26/2020
- **Last updated:** 08/26/2020