D Keith Fortson, DMD, PC
D Keith Fortson, DMD, PC is a General Practice Dentistry in Jackson, Georgia. Licensed in Georgia. Registered with an NPI since 2007.
- Licensed in
- GA
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
151 S Harkness StJackson, GA 30233-1832
Phone: (770) 775-4550
Fax: (770) 775-4338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence DN008764 (GA) |
|---|
Record details
| NPI number | 1033245196 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dennis Fortson — Ceo · (770) 775-4550 |
| NPI enumerated | February 25, 2007 |
| Last updated in NPPES | May 29, 2013 |
| Mailing address | 151 S Harkness St, Jackson, GA 30233-1832 |
Other providers in Jackson
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Dr. Dennis Keith Fortson, DMD
151 S Harkness St, Jackson, GA 30233-1832 · (770) 775-4550