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Dr. Kimberly Raine Fortner, DMD
Student in an Organized Health Care Education/Training Program in Batesville, Mississippi
NPI 1407585037

Kimberly Raine Fortner is a Student in an Organized Health Care Education/Training Program based in Batesville, MS. Kimberly Raine Fortner practices in Batesville, MS and has the professional credentials of DMD. The NPI Number for Kimberly Raine Fortner is 1407585037 and holds a License No. 4324-22 (Mississippi).

The current practice location address for Kimberly Raine Fortner is 221 Gay Street, Batesville, MS and can be reached out via phone at 662-563-5040.

Location: 221 Gay Street, Batesville, MS, 38606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407585037
Provider Name
Kimberly Raine Fortner
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
221 Gay Street, Batesville, MS, 38606
Phone Number
662-563-5040
Fax Number
Provider Enumeration Date
06/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
221 Gay Street
City
Batesville
State
Mississippi
Zip
38606-4500
Phone Number
662-563-5040
Fax Number
person
Provider Business Mailing Address Details
Address
221 Gay Street
City
Batesville
State
Mississippi
Zip
38606-4500
Phone Number
662-563-5040
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
4324-22 (Mississippi)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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