DR. CORY FORTSON

Dentist - Oral and Maxillofacial Surgery

Active Individual
NPI: 1306258280

Practice Address

17600 W 12 MILE RD STE 3
Southfield, MI 48076

Phone: (248) 569-6722

Specialties

Specialty Code Primary License
Dentist 122300000X No 2901021215 (MI)
Dentist - Oral and Maxillofacial Surgery 1223S0112X Yes 2901021215 (MI)

Frequently Asked Questions

NPI 1306258280 is the National Provider Identifier for DR. CORY FORTSON, a Dentist - Oral and Maxillofacial Surgery provider located in Southfield, MI. This NPI was enumerated on May 27, 2014.
DR. CORY FORTSON practices at 17600 W 12 MILE RD STE 3, Southfield, MI 48076.

Quick Facts

NPI
1306258280
Type
Individual
Enumerated
May 27, 2014
Last Updated
May 8, 2024

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