D.keith Fortson,d.m.d.,p.c. is a Dental Clinic in Jackson, Georgia. It is located at 151 S Harkness St, Jackson, GA and its contact number is 770-775-4550. The authorized person for D.keith Fortson,d.m.d.,p.c. is Dr. Dennis Keith Fortson
who is Ceo of the clinic and their contact number is 770-775-4550. The primary license number for D.keith Fortson,d.m.d.,p.c. is DN008764 (General Practice) in Georgia. D.keith Fortson,d.m.d.,p.c. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
D.keith Fortson,d.m.d.,p.c. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
D.keith Fortson,d.m.d.,p.c.
Specialization:
General Practice Dentistry
Clinic Address:
151 S Harkness St, Jackson, Georgia, 30233-1832
Phone:
770-775-4550
Fax:
770-775-4338
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Dennis Keith Fortson
Position:
Ceo
Contact Number:
770-775-4550
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for D.keith Fortson,d.m.d.,p.c. clinic are as mentioned below.
NPI Number:
1033245196
NPI Enumeration Date:
25 Feb, 2007
NPI Last Update On:
29 May, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for D.keith Fortson,d.m.d.,p.c. are as mentioned below.
Specialization
License Number
State
Status
General Practice
DN008764
Georgia
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
000136694A
Medicaid
Georgia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
D.keith Fortson,d.m.d.,p.c. 151 S Harkness St, Jackson, Georgia
Zip:
30233-1832
Phone Number:
770-775-4550
Fax Number:
770-775-4338
Patients can reach D.keith Fortson,d.m.d.,p.c. at 151 S Harkness St, Jackson, Georgia or can call to book an appointment on 770-775-4550. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.