FORTSON FAMILY DENTISTRY, P.C.
NPI 1215298468
Dentist - General Practice in Lathrup Village, MI

Active since June 05, 2012
27347 SOUTHFIELD RD, LATHRUP VILLAGE, MI 48076(248) 557-8120 Get Directions Write a Review

NPPES record last updated: June 5, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fortson Family Dentistry, P.c. NPPES

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

FORTSON FAMILY DENTISTRY, P.C. (NPI 1215298468) is a healthcare organization registered as a general practice in Lathrup Village, Michigan and active in the NPI registry since June 2012. The organization lists Raymond Fortson, President, as its authorized official.

NPPES Registry Identity

NPI1215298468
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFORTSON FAMILY DENTISTRY, P.C.
Location Address27347 SOUTHFIELD RDLathrup Village, MI 48076-3408
Mailing Address17600 W 12 Mile Rd, Suite 3Southfield, MI 48076-1910
Organization SubpartNo
Authorized OfficialRaymond FortsonPresident · (248) 569-6722
Enumeration DateJune 5, 2012
NPI 1215298468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MI · 2901014077
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.
27347 SOUTHFIELD RD, Lathrup Village, MI 48076

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

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 Fortson Family Dentistry, P.C.'s NPI number?

The NPI number for Fortson Family Dentistry, P.C. is 1215298468. It was assigned to this organization in the NPPES registry on June 5, 2012.

Where is Fortson Family Dentistry, P.C. located?

Fortson Family Dentistry, P.C. is located at 27347 Southfield Rd, Lathrup Village, MI 48076. The listed phone number is (248) 557-8120.

What is Fortson Family Dentistry, 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 Fortson Family Dentistry, P.C. was last updated on June 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.