| Phillip L Fortner Dmd Llc | |
|
569 Mccurdy Ave N Rainsville AL 35986-4409 | |
| (256) 638-7272 | |
| (256) 638-7271 |
| Full Name | Phillip L Fortner Dmd Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 569 Mccurdy Ave N, Rainsville, Alabama |
| Authorized Official Name and Position | Phillip Fortner (DENTIST/OWNER) |
| Authorized Official Contact | 2566387272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip L Fortner Dmd Llc 161 Massingill Dr Rainsville AL 35986-5768 Ph: (256) 638-7272 | Phillip L Fortner Dmd Llc 569 Mccurdy Ave N Rainsville AL 35986-4409 Ph: (256) 638-7272 |
| NPI Number | 1447910781 |
|---|---|
| Provider Enumeration Date | 12/28/2021 |
| Last Update Date | 12/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447910781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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