Provider Demographics
NPI:1831384692
Name:FORD, FRANK EUGENE (DDS)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:EUGENE
Last Name:FORD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 170594
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76003
Mailing Address - Country:US
Mailing Address - Phone:972-296-0101
Mailing Address - Fax:972-296-5801
Practice Address - Street 1:107 NORTH CEDAR RIDGE DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75116
Practice Address - Country:US
Practice Address - Phone:972-296-0101
Practice Address - Fax:972-296-5801
Is Sole Proprietor?:No
Enumeration Date:2007-09-13
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9783122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist