OrganizationActive
D.keith Fortson,d.m.d.,p.c.
NPI 1033245196 · General Practice Dentistry · Jackson, GA
Provider details
- NPI number
- 1033245196
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Dennis Fortson, Ceo(770) 775-4550
- License
- DN008764 (GA)
Specialties & taxonomies
Dental Providers
Practice location
151 S Harkness St
Jackson, GA 30233-1832
Phone: (770) 775-4550
Fax: (770) 775-4338
Approximate (ZIP-level) locationGet directions
Mailing address
151 S Harkness St
Jackson, GA 30233-1832
Registry dates
- Enumerated
- 2007-02-25
- Last updated
- 2013-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.