DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JARED R FORTMAN, DDS

Active Sole Proprietor

JARED R FORTMAN, DDS is a Endodontics healthcare provider located in SANTA ROSA, California. NPI 1922193838 is currently active in the NPPES registry. Verify at CMS.

Endodontics · SANTA ROSA, CA

Registration Details

NPI Number
1922193838
Provider Type
Individual
Gender
Male
NPI Issued
Oct 4, 2006 (19.82899134372 yrs)
Last Updated
Aug 5, 2008
License
51826 (CA)
Sole Proprietor
Yes

Practice Information

Address
1100 SONOMA AVE
STE B
SANTA ROSA, CA, 95405
Browse CA providers · Browse ZIP 95405
Phone
7075279170
Fax
7075270255
Primary Specialty
Endodontics
1223E0200X

Other Endodontics Providers in SANTA ROSA, CA

Name Credential NPI
DR. JAMIE DOUGLAS RING DMD 1437150935
DR. KARLA C RING DMD 1619963055
CLINTON E WEAVER DDS 1407957947
DR. EMINE CATALBAS COLIN D.M.D. 1639237084
DR. RANOLPH DUANE RUSH DDS 1013077403
DR. ROBERT LEE GROVE JR. DDS 1689721961
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.