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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.