| Fortson Dentistry Milford P.c. | |
|
1733 S Milford Rd Highland MI 48357-4870 | |
| (248) 887-3300 | |
| Not Available |
| Full Name | Fortson Dentistry Milford P.c. |
|---|---|
| Speciality | Dentist |
| Location | 1733 S Milford Rd, Highland, Michigan |
| Authorized Official Name and Position | Christa Burger (BUSINESS ADMIN) |
| Authorized Official Contact | 2482023751 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fortson Dentistry Milford P.c. 1733 S Milford Rd Highland MI 48357-4870 Ph: () - | Fortson Dentistry Milford P.c. 1733 S Milford Rd Highland MI 48357-4870 Ph: (248) 887-3300 |
| NPI Number | 1184394249 |
|---|---|
| Provider Enumeration Date | 09/20/2021 |
| Last Update Date | 09/20/2021 |
| Medicare PECOS PAC ID | 6406398346 |
|---|---|
| Medicare Enrollment ID | O20240607000242 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184394249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Cory Allen Fortson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1306258280 PECOS PAC ID: 1052683737 Enrollment ID: I20240607000301 |
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