Individual
DR. HENRY C FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
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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