Dr. Cory Fortson
Dr. Cory Fortson is a Dentist in Southfield, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
17600 W 12 Mile Rd Ste 3Southfield, MI 48076-1910
Phone: (248) 569-6722
Fax: (248) 569-7409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X · Licence 2901021215 (MI) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence 2901021215 (MI) |
Record details
| NPI number | 1306258280 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 27, 2014 |
| Last updated in NPPES | May 8, 2024 |
| Certification date | May 8, 2024 |
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