Raymond a Fortson Jr & Associates DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

DN10042 Issued in FL

Legal business name

RAYMOND A FORTSON JR & ASSOCIATES DDS PC

Practice address

27445 Southfield Rd
Lathrup Village, MI 48076-3411

Phone

(248) 569-6722

NPI assigned

Oct 21, 2016

Organization subpart

No

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

Authorized official

Name

Ralph Fortson, DDS

Title

President

Phone

(813) 468-4672

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Catherine El Hadi, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Dearborn Heights, MI
  • NPI 1245993336
  NPD (past)
• Cory Fortson

  • Oral and Maxillofacial Surgery (Dentist)
  • Southfield, MI
  • NPI 1306258280
  NPD (past)
• Jeffrey Heinz, DDS, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rockford, MI
  • NPI 1275946113
  NPD (past)
• James T Hiscock, CRNA

  • Certified Registered Nurse Anesthetist
  • Flint, MI
  • NPI 1013973601
  NPD (past)

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1831640135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27347 SOUTHFIELD RD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480763408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27445 SOUTHFIELD RD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480763411",
            "telephone_number": "248-569-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND A FORTSON JR & ASSOCIATES DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "FORTSON",
        "authorized_official_first_name": "RALPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-468-4672",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN10042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quest Health Systems VII, PLLC
• Jordan Rabban
• Rainbow Home Health Care
• Khalid Rao, M.D.
• Raveend Thabolingam MD PC
• Renewed Living LLC
• RHPT LLC
• Rite Away Medical Equipment Inc
• Riyadh P. Kasmikha, M.D., P.C.
• Susan Rizk, DMD MS

• Dentist in Lathrup Village, MI
• Providers in Lathrup Village, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.