Kenneth C. Fordham, Jr.

Primary specialty

DentistTaxonomy code 122300000X

License

DS023116L Issued in PA

Legal business name

KENNETH C. FORDHAM, JR.

Doing business as

Chester Springs Family Dentistry

Practice address

241 Byers Rd
Chester Springs, PA 19425

Phone

(610) 458-3800

Fax

(610) 458-3904

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth C Fordham Jr., DMD

Title

Owner

Phone

(610) 458-3800

Specialties & licenses 1

Addresses

Other names 1

• Chester Springs Family Dentistry Doing business as

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1801011911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 BYERS RD",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "19425",
            "telephone_number": "610-458-3800",
            "fax_number": "610-458-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 BYERS RD",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "19425",
            "telephone_number": "610-458-3800",
            "fax_number": "610-458-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH C. FORDHAM, JR.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "FORDHAM",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-458-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS023116L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chester Springs Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Chester Springs, PA
• Providers in Chester Springs, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.