Search › Georgia › 1223G0001X
Dennis Fortson, D.M.D
NPI 1548607765 · on the registry since 2013 · sole proprietor
Practice
- Address
- 151 S Harkness St
Jackson, GA 30233 - Phone
- (770) 775-4550
- Fax
- (770) 775-4338
- Organisation at this address
- D.Keith Fortson,D.M.D.,P.C.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-11-01
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 Georgia