Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES ROBERT FORT, DMD
ActiveDentist · FORT MEADE, FL
Registration Details
- NPI Number
- 1346328812
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 1, 2006 (19.511515024191 yrs)
- Last Updated
- Jul 8, 2007
- License
-
8002 (FL)
Practice Information
- Address
-
330 EAST BROADWAY STREETFORT MEADE, FL, 33841Browse FL providers · Browse ZIP 33841
- Phone
- 8632857121
- Fax
- 8632858648
- Primary Specialty
-
Dentist
122300000X
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.