Sybil Ann Fortner, DDS

General Practice Dentistry · Ava, MO

Individual Active NPI

NPI number 1568665883

Practice location

504 NW 10TH Ave
Ava, MO 65608
Phone
(417) 683-4831
Fax
(417) 683-1602

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NPI record

NPI
1568665883
Entity type
Individual (Type 1)
Enumeration date
June 6, 2007
Last updated
March 6, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2007014535 MO

Mailing address

PO Box 1359
Ava, MO 65608-1359
Phone
(417) 683-4831
Fax
(417) 683-1602

About Dr. Fortner

Sybil Ann Fortner, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 504 NW 10TH Ave, Ava, MO 65608. The NPI number 1568665883 was assigned on June 6, 2007 and the record was last updated on March 6, 2008.

Dr. Fortner lists a license in the registry: #2007014535 (MO) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Sybil Ann Fortner, DDS?

The NPI number is 1568665883.

What is the phone number of Dr. Fortner?

The phone number listed for the practice location is (417) 683-4831.

Where is Dr. Fortner located?

504 NW 10TH Ave, Ava, MO 65608.

What is the taxonomy code for Dr. Fortner?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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