JEFFREY ALLEN FORD, D.M.D. — NPI 1770535601 (Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) in KEESLER AFB, MS)

CMS-1500 Box 24J / 33a • NPI

1770535601

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

1223X0400X

Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)

Box 32 Service Location & ZIP+4

301 FISHER ST, KEESLER AFB, MS, 39534-2508

✓ 9-Digit EDI 837 ZIP+4 (39534-2508)

Practice Phone & Referral Fax

(228) 376-3021

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1770535601 (JEFFREY ALLEN FORD, D.M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1770535601` (NPI-1 Individual Practitioner)
Provider / Legal Name	JEFFREY ALLEN FORD, D.M.D.
Plain-English Specialty	Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) NUCC Code: `1223X0400X` (Dentist, Orthodontics and Dentofacial Orthopedics)
Certifying / Licensing Body	American Dental Association (ADA) / State Board of Dental Examiners
Practice Location Address	301 FISHER ST, KEESLER AFB, MS, 39534-2508
Practice Telephone / Fax	Tel: (228) 376-3021
Administrative Mailing Address	301 FISHER ST, KEESLER AFB, MS, 39534-2508
Enumeration & Last Sync	Enumerated: 2006-05-17 \| CMS Record Updated: 2025-07-18

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

301 FISHER ST, KEESLER AFB, MS, 39534-2508

🗺️ Open in Google Maps 🏥 More Providers in KEESLER AFB

🔒 Are you JEFFREY ALLEN FORD, D.M.D.? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (1223X0400X)

What Does Taxonomy Code 1223X0400X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1223X0400X translates to:
"Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: American Dental Association (ADA) / State Board of Dental Examiners
Clinical Scope: Routine 6-month dental checkups, toothache, dental abscess, bleeding gums (periodontitis), or wisdom tooth extraction.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JEFFREY ALLEN FORD, D.M.D.)

Typical CPT / Diagnostic Procedures:

Comprehensive Oral Evaluation, Digital Dental Radiographs & Prophylaxis
Restorative Composite Fillings, Crowns, Endodontic Root Canal & Extractions

Common Therapeutic Classes:

Amoxicillin, Metronidazole & Clindamycin (Odontogenic Infections)
Chlorhexidine Gluconate 0.12% Oral Rinse & High-Fluoride Varnish

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`122300000X` — Dentist Plain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)	State: MS \| License: `3253-03` \| Primary: Secondary
`1223X0400X` — Dentist, Orthodontics and Dentofacial Orthopedics Plain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)	State: MS \| License: `3253-03` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

JEFFREY ALLEN FORD, D.M.D. (NPI #1770535601)