Lavonne Kelly Fore, DMD, MSD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

9106-981 Issued in SC

Practice address

915 Folly Rd Ste T
Charleston, SC 29412-3907

Phone

(843) 642-8100

Fax

(843) 566-0706

NPI assigned

Apr 16, 2007

Sex

Female

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

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1710102405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 FOLLY RD STE T",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294123907",
            "telephone_number": "843-642-8100",
            "fax_number": "843-566-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 FOLLY RD STE T",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294123907",
            "telephone_number": "843-642-8100",
            "fax_number": "843-566-0706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 N 4th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "GA",
            "postal_code": "301652812",
            "country_code": "US",
            "telephone_number": "706-192-0383",
            "fax_number": "706-291-9536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORE",
        "first_name": "LAVONNE",
        "middle_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "DMD, MSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SC",
            "license": "9106-981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dee Walker Ford, MD
• Dominique Lee Ford
• Lauren Strickler Ford, FNP
• Timothy M Ford, MD
• Wilson Frederick Ford, MD
• Adam Forehand, D.M.D.
• Jessica Forney
• John Joseph Forney, M.D.
• Amanda Forrest, PHARMD
• Brent Hudgens Forrest

• Orthodontics and Dentofacial Orthopedics Dentistry in Charleston, SC
• Providers in Charleston, SC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.