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Dr. Edward Todd Fort, DDS
General Practice Dentistry in Los Angeles, California
NPI 1578569281

Edward Todd Fort is a General Practice Dentistry based in Los Angeles, CA and is specialized in General Practice. Edward Todd Fort practices in Los Angeles, CA and has the professional credentials of DDS. The NPI Number for Edward Todd Fort is 1578569281 and holds a License No. D20523 (California).

The current practice location address for Edward Todd Fort is 8540 S Sepulveda Blvd, Los Angeles, CA and can be reached out via phone at 310-670-1200 and via fax at 310-670-5352.

Location: 8540 S Sepulveda Blvd, Los Angeles, CA, 90045-3807
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578569281
Provider Name
Edward Todd Fort
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
8540 S Sepulveda Blvd, Los Angeles, CA, 90045-3807
Phone Number
310-670-1200
Fax Number
310-670-5352
Provider Enumeration Date
06/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95-3656129 01 CA FEDERAL TAX ID
institution
Provider Business Practice Location Address Details
Address
8540 S Sepulveda Blvd
City
Los Angeles
State
California
Zip
90045-3807
Phone Number
310-670-1200
Fax Number
310-670-5352
person
Provider Business Mailing Address Details
Address
8540 S Sepulveda Blvd
City
Los Angeles
State
California
Zip
90045-3807
Phone Number
310-670-1200
Fax Number
310-670-5352
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D20523 (California)
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.
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