DR. Jackson D Fordham, DMD

NPI #1699858001 in Dublin, Georgia

Provider Information

NPI Number
1699858001
Entity Type
Individual
Name
DR. Jackson D Fordham, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
Oct 23, 2006
Last Updated
Jun 20, 2016

Practice Location

Address
204 FAIRVIEW PARK DR
City
Dublin
State
Georgia
ZIP Code
31021-2547
Phone
(478) 272-4051

Specialties & Taxonomy Codes

Specialty
Dentist

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