Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHRISTINE ANN FORTMANN, DDS
Active Sole ProprietorDR. CHRISTINE ANN FORTMANN, DDS is a Pediatric Dentistry healthcare provider located in SAN JUAN CAPISTRANO, California. NPI 1124419007 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · SAN JUAN CAPISTRANO, CA
Registration Details
- NPI Number
- 1124419007
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 12, 2015 (11.528722572945 yrs)
- Last Updated
- Jun 16, 2020
- Licenses
-
DDS65045 (CA)30577 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
32281 CAMINO CAPISTRANO STE C102SAN JUAN CAPISTRANO, CA, 926753784Browse CA providers · Browse ZIP 92675
- Phone
- 9494298833
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
- Additional Specialty
- Pediatric Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.