Individual
DR. HOMER RICHARD FORTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
110 MYERS STREET, CUMBERLAND, KY 40823-0426
(606) 589-2900
Mailing address
110 MYERS STREET, CUMBERLAND, KY 40823-0426
(606) 589-2900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4582
KY
Other
Enumeration date
06/21/2006
Last updated
07/08/2007
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