SYBIL ANN FORTNER (NPI# 1568665883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568665883 |
| Entity Type | Individual |
| Full Name | SYBIL ANN FORTNER |
| Credential | DDS |
| Practice Address |
504 Nw 10th Ave Ava MO 65608 |
| Mailing Address |
Po Box 1359 Ava MO 65608-1359 |
| Practice Telephone | 4176834831 |
| Practice Fax Number | 4176831602 |
| Mailing Telephone | 4176834831 |
| Mailing Fax Number | 4176831602 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2008-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2007014535 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720328990 | Sybil Fortner | Case Manager/Care Coordinator | 9901 Artesia Blvd, Bellflower, CA 90706-6713 | 2013-02-25 |
| Street Address |
504 NW 10TH AVE |
| City | AVA |
| State | MO |
| Zip Code | 65608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386619252 | Jerriann Coxson | Nurse Practitioner | 504 Nw 10th Ave, Ava, MO 65608 | 2006-02-22 |
| 1265627970 | Kathy L Domiano | Nurse Practitioner | 504 Nw 10th Ave, Ava, MO 65608 | 2007-09-06 |
| 1871797597 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 504 Nw 10th Ave, Ava, MO 65608 | 2007-06-14 |
| 1649332545 | Teresa Lynn Sherard | Internal Medicine | 504 Nw 10th Ave, Ava, MO 65608-0000 | 2006-12-15 |
| 1508896325 | Brian Thomas Lenihan | Physician Assistant | 504 Nw 10th Ave, Ava, MO 65608 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306326871 | Regional Services | Nurse Practitioner | 507 Ne 3rd St, Ava, MO 65608 | 2018-08-15 |
| 1629558168 | Smith Management Services, LLC | Durable Medical Equipment & Medical Supplies | 916 N.w. Springfield Ave, Suite F, Ava, MO 65608 | 2018-08-15 |
| 1235639592 | Carolyn Marie Myers | Occupational Therapist | 223 South Jefferson Street, Ava, MO 65608 | 2018-02-13 |
| 1114386497 | Judy King | Counselor | 202 Nw Str Str 1, Ava, MO 65608 | 2016-02-16 |
| 1548653009 | Grace Smith | Pharmacist | 124 West Washington Avenue, Ava, MO 65608 | 2015-03-09 |
| 1427397769 | Rebecca L Mcbride | Nurse Practitioner | 120 W Lincoln Ave, Ava, MO 65608 | 2013-02-06 |
| 1154695716 | Medical Equipment Inspection & Repair | Durable Medical Equipment & Medical Supplies | 122 East Washington Ave, Ava, MO 65608 | 2012-02-29 |
| 1932471695 | Lacinda Kaye Higley | Mechanotherapist | 603 North West 10th Ave, Ava, MO 65608 | 2012-01-27 |
| 1972812592 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 603 Nw 10th Ave., Ava, MO 65608 | 2010-09-30 |
| 1013224047 | Family Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 916 N.w. 12th Ave, Suite F, Ava, MO 65608 | 2010-09-13 |
| Find all providers in zip 65608 | ||||
| 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 |
|---|---|---|---|---|
| 1902219959 | Joel Javan Casimir | Dentist | 504 West Broadway Ave., Ava, MO 65608-1359 | 2014-06-07 |
| 1184020323 | Scott C. Mason | Dentist | 132 W Washington, Ava, MO 65608-1058 | 2014-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322990 | Wildhorse Dental Care, LLC | Dentist | 399 Patriotic Trl, Weldon Spring, MO 63304-7936 | 2020-10-05 |
| 1801493762 | Alexander Ahmadi | Dentist | 4171 Crescent Dr Ste 102, Saint Louis, MO 63129-3645 | 2020-10-05 |
| 1184239832 | Adam Wesley Gadbois | Dentist | 220 Diego Dr, Columbia, MO 65203-4919 | 2020-09-10 |
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1538778592 | Maya Grace Habibi | Dentist | 5212 N Service Rd, Saint Peters, MO 63376-3950 | 2020-07-27 |
| 1427667500 | Breakthrough Dental Partners LLC | Dentist | 401 E Mechanic St, Harrisonville, MO 64701-2427 | 2020-07-24 |
| 1396353876 | Michael Rehme Jr. | Dentist | 2821 N Ballas Rd Ste 245, Saint Louis, MO 63131-2378 | 2020-07-21 |
| 1790303774 | Wed Khizirpour | Dentist | 1680 Nw Chipman Rd, Lees Summit, MO 64081-3934 | 2020-07-07 |
| 1275150716 | Hills Dentistry LLC | Dentist | 2000 Kentucky Ave Ste C, Platte City, MO 64079-7714 | 2020-07-01 |
| 1134745227 | Kayla White | Dentist | 1401 Forum Blvd Ste 203, Columbia, MO 65203-1915 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
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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.