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Contact Information

HARRISON D FORTNEY, DDS
12630 MONTE VISTA RD STE 205
POWAY, CA92064-2527
 Phone: 858-485-1290
 Fax: 858-675-7485
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for HARRISON D FORTNEY · (Male)

NPI # 1013094036
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 11/01/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 23183
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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