Phillip L Fortner Dmd LLC

NPI #1447910781 in Rainsville, Alabama

Provider Information

NPI Number
1447910781
Entity Type
Organization
Organization Name
Phillip L Fortner Dmd LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Dec 28, 2021
Last Updated
Dec 28, 2021

Practice Location

Address
569 MCCURDY AVE N
State
Alabama
ZIP Code
35986-4409
Phone
(256) 638-7272

Authorized Official

Name
DR. PHILLIP FORTNER, DMD
Title
DENTIST/OWNER
Phone
(256) 638-7272

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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