Russell A Fortune Dds Sc is a Dental Clinic in La Crosse, Wisconsin. It is located at 1600 Losey Blvd South, La Crosse, WI and its contact number is 608-782-8834. The authorized person for Russell A Fortune Dds Sc is Dr. Russell Alan Fortune
who is President Owner of the clinic and their contact number is 608-782-8834. The primary license number for Russell A Fortune Dds Sc is 2778 (Dentist) in Wisconsin. Russell A Fortune Dds Sc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Russell A Fortune Dds Sc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Russell A Fortune Dds Sc
Specialization:
Dentistry
Clinic Address:
1600 Losey Blvd South, La Crosse, Wisconsin, 54601-6104
Phone:
608-782-8834
Fax:
608-782-5223
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. Russell Alan Fortune
Position:
President Owner
Contact Number:
608-782-8834
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 Russell A Fortune Dds Sc clinic are as mentioned below.
NPI Number:
1982706743
NPI Enumeration Date:
02 Sep, 2006
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Russell A Fortune Dds Sc are as mentioned below.
Specialization
License Number
State
Status
Dentist
2778
Wisconsin
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
33429900
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Russell A Fortune Dds Sc 1600 Losey Blvd South, La Crosse, Wisconsin
Zip:
54601-6104
Phone Number:
608-782-8834
Fax Number:
608-782-5223
Patients can reach Russell A Fortune Dds Sc at 1600 Losey Blvd South, La Crosse, Wisconsin or can call to book an appointment on 608-782-8834. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.