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Contact Information

BRIAN P FORD, D.M.D., M.D.
3400 CIVIC CENTER BLVD
4TH FLOOR, SOUTH PAVILION
PHILADELPHIA, PA19104-5127
 Phone: 215-662-3580
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for BRIAN P FORD · (Male)

NPI Number 1578799862
Status Active
Credentials D.M.D., M.D.
Entity Individual
Enumeration date 06/02/2009
Last updated 09/26/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # DS037873
  • PA License # MD456122
Hospital affiliation(s)
  • HOSPITAL OF UNIV OF PENNSYLVANIA - (Acute Care)
    34TH & SPRUCE STS
    PHILADELPHIA, PA 19104
  • PENN PRESBYTERIAN MEDICAL CENTER - (Acute Care)
    51 NORTH 39TH STREET
    PHILADELPHIA, PA 19104
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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