Kylie Ford, - Dentist in Cottage Grove, WI

Kylie Ford, is a Dentist - General Practice based in Cottage Grove, Wisconsin. Kylie Ford is licensed to practice in Wisconsin (license number 1002656-15) and her current practice location is 2848 Cottage Grove Rd, Cottage Grove, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (608) 839-6363.

NPI number for Kylie Ford is 1396413951 and her current mailing address is 725 Seneca Pl, Madison, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396413951.

Contact Information

Kylie Ford,
2848 Cottage Grove Rd,
Cottage Grove, WI 53527-8862
(608) 839-6363
Not Available



Healthcare Provider's Profile

Full NameKylie Ford
GenderFemale
SpecialityDentist - General Practice
Location2848 Cottage Grove Rd, Cottage Grove, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1396413951
  • Provider Enumeration Date: 08/31/2021
  • Last Update Date: 08/31/2021

Medical Identifiers

Medical identifiers for Kylie Ford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396413951NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 1002656-15 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kylie Ford is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kylie Ford,
725 Seneca Pl,
Madison, WI 53711-2950

Ph: (847) 404-0604
Kylie Ford,
2848 Cottage Grove Rd,
Cottage Grove, WI 53527-8862

Ph: (608) 839-6363

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Dentist in Cottage Grove, WI

Dr. Donald Stanley Blair, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2848 County Road Bb, Cottage Grove, WI 53527
Phone: 608-839-9200    Fax: 608-839-8400

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