IndividualActive
Brian Ford, D.M.D., M.D.
NPI 1578799862 · Oral & Maxillofacial Surgery (D.M.D.) · Philadelphia, PA
Provider details
- NPI number
- 1578799862
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- D.M.D., M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- DS037873 (PA)
Practice location
3400 Civic Center Blvd
4th Floor, South Pavilion
Philadelphia, PA 19104-5127
Phone: (215) 662-3580
Mailing address
3400 Civic Center Blvd
Philadelphia, PA 19104-5127
Registry dates
- Enumerated
- 2009-06-02
- Last updated
- 2019-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.