Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CORY FORTSON
Active Sole ProprietorDR. CORY FORTSON is a Oral & Maxillofacial Surgery healthcare provider located in SOUTHFIELD, Michigan. NPI 1306258280 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · SOUTHFIELD, MI
Registration Details
- NPI Number
- 1306258280
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 27, 2014 (12.182287631763 yrs)
- Last Updated
- May 8, 2024
- Licenses
-
2901021215 (MI)2901021215 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
17600 W 12 MILE RD STE 3SOUTHFIELD, MI, 480761910Browse MI providers · Browse ZIP 48076
- Phone
- 2485696722
- Fax
- 2485697409
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
Other Oral & Maxillofacial Surgery Providers in SOUTHFIELD, MI
| Name | Credential | NPI |
|---|---|---|
| DR. MONOSETA COVINGTON-BURWELL | D.M.D. | 1760488670 |
| JEEVAKA YAPA | DDS | 1013957281 |
| MORHAF SADEK | D.D.S., M.D. | 1245437292 |
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.