Jared R Fortman is a Endodontics in Santa Rosa, California. Jared R Fortman practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Jared R Fortman is 1922193838. The last update date is 2008-08-05.
Jared R Fortman's current location address is 1100 Sonoma Ave, Santa Rosa, California. You can contact this provider via phone number 7075279170 and fax number 7075270255. The mailing address for Jared R Fortman is 1100 Sonoma Ave, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jared R Fortman |
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Address | 1100 Sonoma Ave, Santa Rosa, California |
Phone Number | 7075279170 |
Fax Number | 7075270255 |
Sole Proprietor | Y |
Credentials | DDS |
NPI Number Detail
NPI Number | 1922193838 |
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Provider Enumeration Date | 2006-10-04 |
Last Updated Date | 2008-08-05 |
Provider Mailing Address Detail
Address | 1100 Sonoma Ave |
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City | Santa Rosa |
State | California (CA) |
Post Code | 95405 |
Phone Number | 7075279170 |
Fax Number | 7075270255 |
Provider's Primary Taxonomy Detail
Speciality | Endodontics |
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Taxonomy | 1223E0200X |
Licence No | 51826 |
Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jared R Fortman by the Centers for Medicare & Medicaid Services?
The Jared R Fortman has been assigned the NPI (National Provider Identifier) 1922193838 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Jared R Fortman located?
The Jared R Fortman is located at 1100 Sonoma Ave, Santa Rosa, CA 95405.
What is Jared R Fortman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jared R Fortman's area of specialization is Endodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223E0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1922193838 to Jared R Fortman?
The Centers for Medicare & Medicaid Services assigned the 1922193838 to Jared R Fortman on 2006-10-04.
As of what date was the information pertaining to Jared R Fortman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jared R Fortman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-08-05.
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