Individual
DR. JASON A FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
155 BARNWOOD DR, EDGEWOOD, KY 41017-2585
(859) 667-1398
Mailing address
965 ALLY WAY, INDEPENDENCE, KY 41051-6507
(270) 304-1068
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30-023774
OH
122300000X
Dentist
Primary
9028
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/23/2011
Last updated
01/02/2018
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