Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Eugene John Fortman

Individual provider Periodontics · NPI 1073688792

Dr. Eugene John Fortman is a Periodontics in Mason City, Iowa. Practices as a sole proprietor and works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2006

Practice location Address checks out

1010 4th St SW Ste 300
Mason City, IA 50401-2856
Phone: (641) 424-0301
Fax: (641) 424-0301
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2112 Viking Dr Nw, Rochester, MN 55901-3522 — (507) 288-1338

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 07746 (MN)

Record details

NPI number1073688792
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 21, 2006
Last updated in NPPESMarch 17, 2018