Search › Maryland › 224P00000X
Benjamin Fortson, MPO, CPO
NPI 1497296537 · on the registry since 2017
Practice
- Address
- 15200 Shady Grove Rd Ste 102
Rockville, MD 20850 - Phone
- (240) 261-4229
- Fax
- (240) 261-4489
- Organisation at this address
- Kids Teeth
Kassmel Inc
Vital Rx Llc
Holystick,Llc
Preetimd, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 47
Additional practice sites
- 73 Thomas Johnson Dr Ste B, Frederick, MD
Registry record
- Primary taxonomy
- 224P00000X
224P00000X
- Also registered as
- 222Z00000X
- Licence states on file
- DE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-04-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland