Jay Nathan Fortner is a Dentist in Lubbock, Texas. Jay Nathan Fortner practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jay Nathan Fortner is 1568564359. The last update date is 2013-03-27.
Jay Nathan Fortner's current location address is 8209 Genoa Avenue, Lubbock, Texas. You can contact this provider via phone number 8067911481 and fax number 8067911480. The mailing address for Jay Nathan Fortner is 8209 Genoa Avenue, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jay Nathan Fortner |
|---|---|
| Address | 8209 Genoa Avenue, Lubbock, Texas |
| Phone Number | 8067911481 |
| Fax Number | 8067911480 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1568564359 |
|---|---|
| Provider Enumeration Date | 2006-09-02 |
| Last Updated Date | 2013-03-27 |
Provider Mailing Address Detail
| Address | 8209 Genoa Avenue |
|---|---|
| City | Lubbock |
| State | Texas (TX) |
| Post Code | 79424 |
| Phone Number | 8067911481 |
| Fax Number | 8067911480 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | TX18583 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code issued to Jay Nathan Fortner by the Centers for Medicare & Medicaid Services?
The Jay Nathan Fortner has been assigned the NPI (National Provider Identifier) 1568564359 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Jay Nathan Fortner's physical address?
The Jay Nathan Fortner is physically located at 8209 Genoa Avenue, in the city of Lubbock, TX, with the postal code 79424.
What is Jay Nathan Fortner's area of expertise and its corresponding taxonomy classification?
The Jay Nathan Fortner's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
When was the Jay Nathan Fortner's 1568564359 issued?
The Jay Nathan Fortner's 1568564359 was issued on 2006-09-02.
As of what date were the details pertaining to Jay Nathan Fortner last refreshed?
The information related to the Jay Nathan Fortner, including its address, specialty, and other relevant details, was last updated on 2013-03-27.