# MAINSTREAMDENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235264680
- **Authorized official:** DR. JEFFREY D. FORTNA D.M.D. (PRESIDENT)
- **Authorized official phone:** (717) 566-8161

## Contact information

- **Practice address:** 20 W MAIN ST, HUMMELSTOWN, PA 17036-1532
- **Practice address phone:** (717) 566-8161
- **Practice address fax:** (717) 566-8444
- **Mailing address:** 20 W MAIN ST, HUMMELSTOWN, PA 17036-1532
- **Mailing address phone:** (717) 566-8161
- **Mailing address fax:** (717) 566-8444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS027810L | PA | Yes |

## Other

- **Enumeration date:** 02/23/2007
- **Last updated:** 08/22/2020