Individual provider · Type 1 NPI
Cory Fortson
Oral and Maxillofacial Surgery (Dentist) · Southfield, MI
NPI number
1306258280
Active
Practice location
17600 W 12 Mile Rd Ste 3
Southfield, MI 48076-1910
Fax (248) 569-7409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 2901021215 (MI) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 2901021215 (MI) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Other oral and maxillofacial surgery (dentist) providers in Southfield
- Jeevaka Yapa, DDSOral and Maxillofacial Surgery (Dentist) Southfield, MI NPI 1013957281
- Morhaf Sadek, DDS, MDOral and Maxillofacial Surgery (Dentist) Southfield, MI NPI 1245437292
- Monoseta Covington-Burwell, DMDOral and Maxillofacial Surgery (Dentist) Southfield, MI NPI 1760488670
- Clara Atleski, MD, DDSOral and Maxillofacial Surgery (Dentist) Southfield, MI NPI 1891326898
About NPI 1306258280
Cory Fortson's National Provider Identifier is 1306258280, issued on May 27, 2014. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Southfield, MI. The record was last updated on May 8, 2024.