D.KEITH FORTSON,D.M.D.,P.C.
NPI 1033245196
Dentist - General Practice in Jackson, GA

Active since February 25, 2007
151 S HARKNESS ST, JACKSON, GA 30233(770) 775-4550(770) 775-4338 Get Directions Write a Review

NPPES record last updated: May 29, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About D.keith Fortson,d.m.d.,p.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

D.KEITH FORTSON,D.M.D.,P.C. (NPI 1033245196) is a healthcare organization registered as a general practice in Jackson, Georgia and active in the NPI registry since February 2007. The organization lists Dennis Keith Fortson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033245196
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameD.KEITH FORTSON,D.M.D.,P.C.
Location Address151 S HARKNESS STJackson, GA 30233-1832
Mailing Address151 S Harkness StJackson, GA 30233-1832 · (770) 775-4550 · Fax (770) 775-4338
Fax(770) 775-4338
Organization SubpartNo
Authorized OfficialDennis Keith FortsonCeo · (770) 775-4550
Enumeration DateFebruary 25, 2007
Last NPPES UpdateMay 29, 2013
NPI 1033245196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in GA · DN008764
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
151 S HARKNESS ST, Jackson, GA 30233

Other Identifiers 1

Medicaid000136694AGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
151 S HARKNESS ST
JACKSON, GA 30233

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is D.Keith Fortson,d.M.D.,p.C.'s NPI number?

The NPI number for D.Keith Fortson,d.M.D.,p.C. is 1033245196. It was assigned to this organization in the NPPES registry on February 25, 2007.

Where is D.Keith Fortson,d.M.D.,p.C. located?

D.Keith Fortson,d.M.D.,p.C. is located at 151 S Harkness St, Jackson, GA 30233. The listed phone number is (770) 775-4550.

What is D.Keith Fortson,d.M.D.,p.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for D.Keith Fortson,d.M.D.,p.C. was last updated on May 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.