Fortune Dental Associates, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FORTUNE DENTAL ASSOCIATES, INC.

Practice address

226 E New York Ave
Deland, FL 32724-5522

Phone

(386) 740-8282

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ivan Graham

Title

VP

Phone

(386) 740-8282

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285789057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 E NEW YORK AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327245522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 E NEW YORK AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327245522",
            "telephone_number": "386-740-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTUNE DENTAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "386-740-8282",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Flouton, RDH
• Kristy Miller Forare, PSY.D.
• Lloyd Antoni Forbes, MD
• Amanda Ford
• Jennifer Fortin, DR.
• Foundations to Healing
• April Summerford Frahm, FNP-C
• Karina Franceschini
• Shawn Lynn Francis
• Michele M Franco, RPH

• General Practice Dentistry in Deland, FL
• Providers in Deland, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.