Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jackson D Fordham, DMD

Individual provider Dentist · NPI 1699858001

Dr. Jackson D Fordham, DMD is a Dentist in Dublin, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

204 Fairview Park Dr
Dublin, GA 31021-2547
Phone: (478) 272-4051
Fax: (478) 272-3310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 9503 (GA)

Record details

NPI number1699858001
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedOctober 23, 2006
Last updated in NPPESJune 20, 2016
Mailing address204 Fairview Park Dr, Dublin, GA 31021-2547

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