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

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