Isaac Fordjour, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS2546 Issued in TN

Practice address

910 Madison Ave
Suite 710
Memphis, TN 38103-3403

Phone

(901) 526-3988

Fax

(901) 526-9807

NPI assigned

Oct 12, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• MS PPO C-SNP
• MS PPO D-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oral & Maxillofacial Surgery Clinic Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Memphis, TN
  • NPI 1427471382
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1013905165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 MADISON AVE",
            "address_2": "SUITE 710",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381033403",
            "telephone_number": "901-526-3988",
            "fax_number": "901-526-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 MADISON AVE",
            "address_2": "SUITE 710",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381033403",
            "telephone_number": "901-526-3988",
            "fax_number": "901-526-9807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORDJOUR",
        "first_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "DS2546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Ford
• Sarah Lynn Ford, PA-C
• Shirley Ford
• Tasha J Ford, MD
• Tiameria Ford, DNP, FNP-C
• Nicole Marie Foree, CRNA
• Forest Hill Family Practice and Aesthetics P C
• Forever Medical Supplies Inc
• Jessie Lynne Forgione, BSN, RN
• Sherrita Marie Forrest

• Oral and Maxillofacial Surgery (Dentist) in Memphis, TN
• Providers in Memphis, TN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.