Doctor profile · Federal record
Dr. Jackson Fordham, DMD
Dentist · Dublin, GA
- NPI 1699858001
- 20 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
204 Fairview Park Dr
Dublin, GA 310212547
(478) 272-4051
fax (478) 272-3310
Credentials & registration
- NPI registered
- October 2006 — 20 yrs on file
- Profile last updated
- June 20, 2016
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- Georgia #9503
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1699858001. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$369
Transactions
3
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Zimvie INC. | 3 | $369.26 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
74
Patients
59
Total drug cost
$312
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 46 | 42 | $196 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 17 | 17 | $61 |
| Chlorhexidine Gluconate | Generic | 11 | 0 | $55 |
Frequently asked questions
What is Dr. Jackson Fordham's medical specialty?
Dr. Jackson Fordham practices Dentist in Dublin, GA.
Where does Dr. Jackson Fordham practice?
Dr. Jackson Fordham practices at 204 Fairview Park Dr, Dublin, GA 310212547. Office phone: 4782724051.
What is Dr. Jackson Fordham's NPI?
Dr. Jackson Fordham's National Provider Identifier (NPI) is 1699858001, issued by NPPES.