Healthcare Provider Details

I. General information

NPI: 1063470045
Provider Name (Legal Business Name): DENNIS C. FORD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4957 SWINYAR DR STE 101
OOLTEWAH TN
37363-2205
US

IV. Provider business mailing address

281 N LYERLY ST STE 200
CHATTANOOGA TN
37404-2749
US

V. Phone/Fax

Practice location:
  • Phone: 423-362-7777
  • Fax: 833-450-6211
Mailing address:
  • Phone: 423-698-0850
  • Fax: 833-450-6211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number12143
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number12143
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: