D.keith Fortson,d.m.d.,p.c.

NPI 1033245196 - Dentist - 1223G0001X

NPI Details
NPI 1033245196
Enumeration Date 02/25/2007
Last Updated 05/29/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DENNIS KEITH DENNIS
Position CEO
Phone (770) 775-4550
Fax (770) 775-4338
Practice Location
151 S HARKNESS ST
JACKSON GA, 30233-1832, US
Phone (770) 775-4550
Fax (770) 775-4338
Business Location
151 S HARKNESS ST
JACKSON GA, 30233-1832, US
Phone (770) 775-4550
Fax (770) 775-4338
Toxanomy
Taxonomy Code 1223G0001X
License State Georgia
License Number DN008764
Remove 1033245196 NPI Number
 

According to our database, D.keith Fortson,d.m.d.,p.c. NPI is 1033245196, taxonomy code is 1223G0001X and license number is DN008764, license state is located at Georgia. D.keith Fortson,d.m.d.,p.c. physically located at 151 S Harkness St, Jackson GA, 30233-1832. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1033245196 NPI number is provided on an as is basis without warranty of any kind. 1033245196 is maintained by the National Plan & Provider Enumeration System. The contents of D.keith Fortson,d.m.d.,p.c. are for informational purposes only.