Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Fortson Family Dentistry, PC

Organization General Practice Dentistry · NPI 1215298468

Fortson Family Dentistry, PC provides General Practice Dentistry in Lathrup Village, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

27347 Southfield Rd
Lathrup Village, MI 48076-3408 Not confirmed with CMS for 14 years — call before visiting
Phone: (248) 557-8120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2901014077 (MI)

Record details

NPI number1215298468
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymond Fortson — President · (248) 569-6722
NPI enumeratedJune 5, 2012
Last updated in NPPESJune 5, 2012
Mailing address17600 W 12 Mile Rd, Suite 3, Southfield, MI 48076-1910

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