Individual
DR. LAURIE C FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
6442 HIGHWAY 44 E STE 140, MT WASHINGTON, KY 40047-6707
(502) 538-8881
(502) 416-0748
Mailing address
PO BOX 316, MT WASHINGTON, KY 40047-0316
(502) 538-8881
(502) 416-0748
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8412
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100144730
—
KY
Enumeration date
09/02/2006
Last updated
04/29/2014
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