Active NPIIndividual providerSole proprietor

Dr. Ronald D Fortgang, DDS

Dentist in Old Tappan, New Jersey

NPI Number1457527061
Practice location
16 Arrowhead RD, Old Tappan, NJ 07675-7129
Fax
201-664-8647
Last updated
May 3, 2008

Ronald D Fortgang is a Dentist based in Old Tappan, NJ. Ronald D Fortgang practices in Old Tappan, NJ and has the professional credentials of DDS. The NPI Number for Ronald D Fortgang is 1457527061 and holds a License No. 22D100673400 (NJ). The current practice location address for Ronald D Fortgang is 16 Arrowhead RD, Old Tappan, NJ 07675-7129 and can be reached out via phone at 201-664-8647 and via fax at 201-664-8647.

Provider Profile Details

NPI Number
1457527061
Provider Name
Ronald D Fortgang
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
16 Arrowhead RD, Old Tappan, NJ 07675-7129
Phone Number
201-664-8647
Fax Number
201-664-8647
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
May 3, 2008
Last Update Date
May 3, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
16 Arrowhead RD
Old Tappan, NJ 07675-7129
Zip
07675-7129
Phone Number
201-664-8647
Fax Number
201-664-8647
Old Tappan, NJ 07675Get directions →

Provider Business Mailing Address Details

Address
16 Arrowhead RD
Old Tappan, NJ 07675-7129
City
Old Tappan
State
NJ
Zip
07675-7129

License Information

License Number
22D100673400
License State
NJ
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Ronald D Fortgang, DDS?

The NPI number of Dr. Ronald D Fortgang, DDS is 1457527061. It was assigned on May 3, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Ronald D Fortgang, DDS?

Dr. Ronald D Fortgang, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22D100673400.

Where does Dr. Ronald D Fortgang, DDS practice?

The practice location is 16 Arrowhead RD, Old Tappan, NJ 07675-7129. The office can be reached at 201-664-8647 (phone) or 201-664-8647 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457527061 directly on the NPPES registry website.

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