DR. Charles Mark Fort, D.M.D.

NPI #1144234725 in Owensboro, Kentucky

Provider Information

NPI Number
1144234725
Entity Type
Individual
Name
DR. Charles Mark Fort, D.M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.M.D.
Enumeration Date
Jul 28, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1208 E BYERS AVE
ZIP Code
42303-7558
Phone
(270) 926-3838

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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