JERRY DEREK FORD DDS
NPI 1487646022
Dentist - General Practice in Gentry, AR

Q: What is Jerry Ford's NPI number?

The NPI number for Jerry Ford is 1487646022. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Q: What is Jerry Ford's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jerry Ford was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 19, 2005

125 NORTH RUST AVE, GENTRY, AR 72734(479) 736-8789(479) 736-5011 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Jerry Derek Ford Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY DEREK FORD DDS (NPI 1487646022) is an individual general practice provider in Gentry, Arkansas, licensed in Arkansas (3095) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1487646022

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameJERRY DEREK FORDCredential: DDS

Location Address125 NORTH RUST AVEGentry, AR 72734

Mailing AddressPo Box 1290Gentry, AR 72734-1290 · (479) 736-8789 · Fax (479) 736-5011

Phone(479) 736-8789

Fax(479) 736-5011

Sole ProprietorNo

Enumeration DateAugust 19, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1487646022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in AR · 3095

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

125 NORTH RUST AVE, Gentry, AR 72734

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Ford's NPI number?

The NPI number for Jerry Ford is 1487646022. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Where is Jerry Ford located?

Jerry Ford practices at 125 North Rust Ave, Gentry, AR 72734. The listed phone number is (479) 736-8789.

What is Jerry Ford's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jerry Ford accept?

Health plans from Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Arkansas and 3 other insurers list Jerry Ford as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jerry Ford was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.