Individual
DR. JERMEL DANON FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1033 28TH ST, NEWPORT NEWS, VA 23607-4233
(757) 774-3418
Mailing address
566 VIRGINIAN DR, NORFOLK, VA 23505-4243
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411161
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9179710
—
VA
Enumeration date
11/29/2006
Last updated
12/14/2016
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