DR. Dennis Keith Fortson, D.M.D

NPI #1548607765 in Jackson, Georgia

Provider Information

NPI Number
1548607765
Entity Type
Individual
Name
DR. Dennis Keith Fortson, D.M.D
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.M.D
Enumeration Date
May 29, 2013
Last Updated
Nov 1, 2013

Practice Location

Address
151 S HARKNESS ST
State
Georgia
ZIP Code
30233-1832
Phone
(770) 775-4550

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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