Provider Demographics
NPI:1861667495
Name:FORD, JOHN FRANCIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:FRANCIS
Last Name:FORD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1590 WEATHERSTONE LN
Mailing Address - Street 2:SUITE 4
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-2059
Mailing Address - Country:US
Mailing Address - Phone:847-695-7783
Mailing Address - Fax:847-695-7785
Practice Address - Street 1:1590 WEATHERSTONE LN
Practice Address - Street 2:SUITE 4
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-2059
Practice Address - Country:US
Practice Address - Phone:847-695-7783
Practice Address - Fax:847-695-7785
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190209941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice