DR. Phillip L Fortner, D.M.D.

NPI #1528268869 in Rainsville, Alabama

Provider Information

NPI Number: 1528268869
Entity Type: Individual
Name: DR. Phillip L Fortner, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Jul 24, 2007
Last Updated: Jul 24, 2007

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Organizations

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