Individual
MAKENZIE RAE FORTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
651 CROSS TIMBERS RD STE 103, FLOWER MOUND, TX 75028-1300
(972) 436-1513
Mailing address
651 CROSS TIMBERS RD STE 103, FLOWER MOUND, TX 75028-1300
(972) 436-1513
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
40225
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2020
Last updated
09/09/2025
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