Individual
DR. WESTON MAJETTE FORTSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 30912-0001
(706) 721-2421
(706) 721-6778
Mailing address
1430 JOHN WESLEY GILBERT DRIVE GC-1012, AUGUSTA, GA 30912-0001
(706) 721-7913
(706) 721-6778
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN009806
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003140221B
—
GA
05
—
ZG9806
—
SC
Enumeration date
08/10/2006
Last updated
04/13/2023
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