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Dr. Cory Fortson
Oral and Maxillofacial Surgery (Dentist) in Southfield, Michigan
NPI 1306258280

Cory Fortson is a Oral and Maxillofacial Surgery (Dentist) based in Southfield, MI and is specialized in Oral and Maxillofacial Surgery. Cory Fortson practices in Southfield, MI. The NPI Number for Cory Fortson is 1306258280 and holds a License No. 2901021215 (Michigan).

The current practice location address for Cory Fortson is 17600 W 12 Mile Rd Ste 3, Southfield, MI and can be reached out via phone at 248-569-6722 and via fax at 248-569-7409.

Location: 17600 W 12 Mile Rd Ste 3, Southfield, MI, 48076-1910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306258280
Provider Name
Cory Fortson
Credential
Provider Entity Type
Individual
Gender
Male
Address
17600 W 12 Mile Rd Ste 3, Southfield, MI, 48076-1910
Phone Number
248-569-6722
Fax Number
248-569-7409
Provider Enumeration Date
05/27/2014
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
17600 W 12 Mile Rd Ste 3
City
Southfield
State
Michigan
Zip
48076-1910
Phone Number
248-569-6722
Fax Number
248-569-7409
person
Provider Business Mailing Address Details
Address
17600 W 12 Mile Rd Ste 3
City
Southfield
State
Michigan
Zip
48076-1910
Phone Number
248-569-6722
Fax Number
248-569-7409
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
2901021215 (Michigan)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
2901021215 (Michigan)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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