Individual
CAROL JO FORTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, PHDHP
Contact information
Practice address
767 5TH AVE STE 3B-A, CHAMBERSBURG, PA 17201-4207
(717) 709-7940
(717) 263-8014
Mailing address
767 5TH AVE, CHAMBERSBURG, PA 17201-4207
(717) 709-7940
(717) 263-8014
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
DH010652L
PA
124Q00000X
Dental Hygienist
Primary
PHDH00316
PA
Other
Enumeration date
10/18/2017
Last updated
05/09/2023
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