Organization
MAINSTREAMDENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY D. FORTNA D.M.D. (PRESIDENT)
(717) 566-8161
Entity
Organization
Contact information
Practice address
20 W MAIN ST, HUMMELSTOWN, PA 17036-1532
(717) 566-8161
(717) 566-8444
Mailing address
20 W MAIN ST, HUMMELSTOWN, PA 17036-1532
(717) 566-8161
(717) 566-8444
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS027810L
PA
Other
Enumeration date
02/23/2007
Last updated
08/22/2020
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