Organization
DONALD R FORTNER JR DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETHANY H. FORTNER (OFFICE MANAGER)
(704) 636-1848
Entity
Organization
Contact information
Practice address
1834 JAKE ALEXANDER BLVD. WEST, SUITE 504, SALISBURY, NC 28147
(704) 636-1848
(704) 636-4890
Mailing address
1834 JAKE ALEXANDER BLVD. WEST, SUITE 504, SALISBURY, NC 28147
(704) 636-1848
(704) 636-4890
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5908
NC
Other
Enumeration date
07/06/2006
Last updated
02/09/2009
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