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

Dr. Eugene John Fortman

Individual provider Periodontics · NPI 1073688792

Dr. Eugene John Fortman is a Periodontics in Mason City, Iowa. Practices as a sole proprietor and works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2006

Practice location Address checks out

1010 4th St SW Ste 300
Mason City, IA 50401-2856
Phone: (641) 424-0301
Fax: (641) 424-0301
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2112 Viking Dr Nw, Rochester, MN 55901-3522 — (507) 288-1338

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 07746 (MN)

Record details

NPI number1073688792
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 21, 2006
Last updated in NPPESMarch 17, 2018
Mailing address2533 Hawk Hill Ln. Sw, Rochester, MN 55902