Individual
JEFFREY HOWARD FORDICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1120 BIRCH ST, FAIRMONT, MN 56031-4418
(507) 238-4276
(507) 238-5496
Mailing address
1120 BIRCH ST, FAIRMONT, MN 56031-4418
(507) 238-4276
(507) 238-5496
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9297
MN
Other
Enumeration date
04/18/2006
Last updated
02/25/2014
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