Dr. Christine Ford, D.D.S
Dentist, Periodontics in Santa Rosa, CA. Individual provider (NPI-1).
NPI number1720174592
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720174592
- Entity type
- Individual (NPI-1)
- Name
- Dr. Christine Ford
- Credential
- D.D.S
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 5, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - ORAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | 30102 | CA | Yes |
Practice location
101 Brookwood AveSuite 203
Santa Rosa, CA 95404-5259
Phone 707-568-7633 · Fax 707-568-7321
Mailing address
101 Brookwood AveSuite 203
Santa Rosa, CA 95404-5259
Phone 707-568-7633 · Fax 707-568-7321
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 13 Periodontics providers in Santa Rosa · All 8,142 providers in Santa Rosa
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