Individual
DR. GREGORY BRYAN FORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
927 BROOKHAVEN RD, FRANKLIN, KY 42134-2368
(270) 586-9444
Mailing address
996 WILKINSON TRCE, SUITE B6, BOWLING GREEN, KY 42103-3407
(270) 782-1128
(270) 781-5874
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
5683
KY
1223G0001X
General Practice Dentistry
Primary
5939
KY
1223G0001X
General Practice Dentistry
8436
KY
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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