Glenn W. Fortner DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GLENN W. FORTNER DDS, PC

Practice address

3950 Springfield Rd
Glen Allen, VA 23060-4119

Phone

(804) 346-4600

NPI assigned

Oct 13, 2017

Organization subpart

Yes

Parent organization

CENTRAL VIRGINIA DENTAL CARE PLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Glenn FortnerNPI 1780767418

Title

Dentist

Phone

(804) 241-9813

Specialties & licenses 1

Addresses

Part of

Russell Mosher DDS PC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Central Virginia Dental Care PLC

  • General Practice Dentistry
  • South Chesterfield, VA
  • NPI 1063960649
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glenn W Fortner, D.D.S.

  • General Practice Dentistry
  • Glen Allen, VA
  • NPI 1780767418
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507852800000",
    "number": "1013428374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 SPRINGFIELD RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230604119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 SPRINGFIELD RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230604119",
            "telephone_number": "804-346-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN W. FORTNER DDS, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL VIRGINIA DENTAL CARE PLC",
        "enumeration_date": "2017-10-13",
        "last_updated": "2017-10-13",
        "status": "A",
        "authorized_official_last_name": "FORTNER",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "804-241-9813"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glaad Servicesllc
• Sarah Lynn Glass, LPC
• Stephen Glass
• Glen Allen Chiropractic & Acupuncture Center PC
• Glen Allen Medi LLC
• Gods Creation Home Care LLC
• Prathyusha Gogineni
• Golay Health Ventures LLC
• Amber Lewis Golden, LPC
• Anuradha Gonuguntla, MD

• General Practice Dentistry in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.