DR. PHILLIP L FORTNER (NPI# 1528268869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528268869 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP L FORTNER |
| Credential | D.M.D. |
| Practice Address |
569 Mccurdy Ave N Rainsville AL 35986-4409 |
| Mailing Address |
Po Box 2119 Rainsville AL 35986-2119 |
| Practice Telephone | 2566387272 |
| Practice Fax Number | 2566387271 |
| Mailing Telephone | 2566387272 |
| Mailing Fax Number | 2566387271 |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2007-07-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4697 | AL | Dental Providers |
| Street Address |
569 MCCURDY AVE N |
| City | RAINSVILLE |
| State | AL |
| Zip Code | 35986-4409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073150306 | Dekalb Urgent Care and Wellness Clinic, LLC | Family Medicine | 157 Marshall Road, Rainsville, AL 35986 | 2019-12-05 |
| 1487160768 | Vision Plus Eyecare Dekalb LLC | Optometrist | 94 Church Avenue N, Rainsville, AL 35986 | 2017-12-21 |
| 1164602504 | Rainsville Eye Clinic | Eyewear Supplier (Equipment, not the service) | 463 Main St W., Rainsville, AL 35986 | 2007-11-13 |
| 1467632976 | Matthew Henry Habel | Optometrist | 94 Church Street North, Rainsville, AL 35986 | 2007-11-13 |
| 1174717268 | Martin L. Habel, O.d. | Optometrist | 94 Church Ave. Nw, Rainsville, AL 35986 | 2007-08-31 |
| 1972793727 | Christopher Brian Millican | Pharmacist | 1040 Kirk Road, Rainsville, AL 35986 | 2007-07-27 |
| 1386709632 | Terrell Chiropractic, LLC | Chiropractor | 65 Mccurdy Ave South, Rainsville, AL 35986 | 2006-12-27 |
| 1760557227 | Independent Health Services | Pharmacy | 504 Mccurdy Ave Sw, Ste 100, Rainsville, AL 35986 | 2006-11-21 |
| 1447337225 | Robert Bynum Terrell | Chiropractor | 65 Mccurdy Avenue South, Rainsville, AL 35986 | 2006-11-01 |
| 1669571048 | Rainsville Drugs, Inc | Pharmacy | 503 Main Street West, Rainsville, AL 35986 | 2006-09-21 |
| Find all providers in zip 35986 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548377112 | Marvin L Barron | Dentist | 103 Church Avenue, Rainsville Clinic, Rainsville, AL 35986-0729 | 2006-08-23 |
| 1548706716 | Emily Carter, Dmd, LLC | Dentist | 89 Church Ave, Rainsville, AL 35986-6147 | 2017-01-12 |
| 1871976399 | Rainsville Pediatric Dental Village | Dentist | 371 Mccurdy Ave S, Rainsville, AL 35986-5215 | 2015-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1669079943 | Diamond Dental Solutions | Dentist | 542 Mcqueen Smith Rd N, Prattville, AL 36066-5558 | 2020-10-08 |
| 1023615762 | Smart Dental Holdings LLC | Dentist | 4616 Montevallo Rd Ste 100, Irondale, AL 35210-3104 | 2020-10-06 |
| 1215548896 | Alexander Braden Plagenhoef | Dentist | 116 Watterson Pkwy, Trussville, AL 35173-2306 | 2020-08-16 |
| 1134739246 | Alabama Dental Professionals, P.C. | Dentist | 1200 20th St S Ste 202, Birmingham, AL 35205-3859 | 2020-08-04 |
| 1164030300 | Caleb Jeffery Hodges | Dentist | 16090 Us-72, Rogersville, AL 35652 | 2020-07-14 |
| 1346867389 | Smart Dental Holdings, LLC | Dentist | 925 Sharit Ave Ste 113, Gardendale, AL 35071-5001 | 2020-06-25 |
| 1396361341 | Noopur Shah | Dentist | 727 Stoneriver Dr, Birmingham, AL 35211-4560 | 2020-06-24 |
| 1336765650 | Lauren Brooke Cabaniss | Dentist | 22727 Al-25, Columbiana, AL 35051 | 2020-06-23 |
| 1144845264 | Elizabeth Anne Pickering | Dentist | 609 Golden Springs Rd, Anniston, AL 36207-6911 | 2020-06-15 |
| Find all providers with the same taxonomy | ||||
| City | RAINSVILLE |
| Zip Code | 35986 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.