Jeffrey Allen Ford, D.M.D.
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Keesler Afb, MS
NPI 1770535601 · NPPES record last updated Jul 18, 2025
Key facts
- NPI
- 1770535601
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 3253-03 (MS)
- Practice address
- 301 Fisher St
Keesler Afb, MS 39534-2508 - Phone
- (228) 376-3021
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3253-03 | MS | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3253-03 | MS | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 3253-03 | MS | Yes |
Addresses
Primary practice location
301 Fisher St
Keesler Afb, MS 39534-2508
Mailing address
301 Fisher St
Keesler Afb, MS 39534-2508
Phone (228) 376-3021
Other providers in Keesler Afb, MS
- Keith Edward Earley Jr.
- Roland Edward Engel
- Anthony Esparza
- Fernando H Ferrera
- Jennifer Mary Field
- Cassie Foss
- Mary Beth Gadarowski
- Britain Gailliot
- Ian Gaspar
- Suzana M Gjekaj
All providers in Keesler Afb, MS · Orthodontics and Dentofacial Orthopedics Dentistry in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.