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

Mason Cleary Ditthardt Fortuno, DMD

Individual provider General Practice Dentistry · NPI 1558983296

Mason Cleary Ditthardt Fortuno, DMD is a General Practice Dentistry in Groton, Connecticut. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

1 Wahoo Ave
Groton, CT 06349-2324
Phone: (860) 694-2377
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN25001 (FL)

Record details

NPI number1558983296
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedMay 15, 2020
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 25, 2024

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