Individual
DR. JEFFREY ALLEN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
301 FISHER ST, KEESLER AFB, MS 39534-2508
(228) 376-3021
Mailing address
301 FISHER ST, KEESLER AFB, MS 39534-2508
(228) 376-3021
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3253-03
MS
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3253-03
MS
Other
Enumeration date
05/17/2006
Last updated
07/18/2025
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