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Dr. Eugene John Fortman
Periodontist in Mason City, Iowa
NPI 1073688792

Eugene John Fortman is a Periodontist based in Rochester, IA and is specialized in Periodontics. Eugene John Fortman practices in Mason City, IA. The NPI Number for Eugene John Fortman is 1073688792 and holds a License No. 07746 (Iowa).

The current practice location address for Eugene John Fortman is 1010 4Th St Sw Ste 300, Mason City, IA and can be reached out via phone at 641-424-0301 and via fax at 641-424-0301.

Location: 1010 4Th St Sw Ste 300, Mason City, IA, 55902
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073688792
Provider Name
Eugene John Fortman
Credential
Provider Entity Type
Individual
Gender
Male
Address
1010 4Th St Sw Ste 300, Mason City, IA, 55902
Phone Number
641-424-0301
Fax Number
641-424-0301
Provider Enumeration Date
11/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1010 4Th St Sw Ste 300
City
Mason City
State
Iowa
Zip
50401-2856
Phone Number
641-424-0301
Fax Number
641-424-0301
person
Provider Business Mailing Address Details
Address
1010 4Th St Sw Ste 300
City
Mason City
State
Iowa
Zip
50401-2856
Phone Number
641-424-0301
Fax Number
641-424-0301
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
07746 (Minnesota)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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