Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fortson Family Dentistry, PC

Organization General Practice Dentistry · NPI 1215298468

Fortson Family Dentistry, PC is a General Practice Dentistry in Lathrup Village, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

27347 Southfield Rd
Lathrup Village, MI 48076-3408
Phone: (248) 557-8120
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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 2901014077 (MI)

Record details

NPI number1215298468
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymond Fortson — President · (248) 569-6722
NPI enumeratedJune 5, 2012
Last updated in NPPESJune 5, 2012
Mailing address17600 W 12 Mile Rd, Suite 3, Southfield, MI 48076-1910

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