Individual provider · Type 1 NPI

Charles Mark Fort, DMD

General Practice Dentistry · Owensboro, KY

NPI number 1144234725 Active

About NPI 1144234725

Charles Mark Fort, DMD's National Provider Identifier is 1144234725, issued on Jul 28, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Owensboro, KY. The record was last updated on Jul 8, 2007.