Individual
DR. HENRY C FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
181 ACADEMY ST STE 1, PRESQUE ISLE, ME 04769-3178
(207) 764-6337
(207) 764-1446
Mailing address
181 ACADEMY ST STE 1, PRESQUE ISLE, ME 04769-3178
(207) 764-6337
(207) 764-1446
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
3224
NH
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3426
ME
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DEN3426
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037356
BLUE CROSS
ME
05
—
132730000
—
ME
01
—
2209645
AETNA
ME
01
—
9760835
CIGNA
ME
Enumeration date
12/15/2006
Last updated
01/23/2014
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