Dr Charles Robert Fort, DMD is a
Dentist based in Fort Meade, Florida. Dr Charles Robert Fort is licensed to practice in Florida (license number 8002) and his current practice location is
330 East Broadway Street, Fort Meade, Florida. He can be reached at his office (for appointments etc.) via phone at
(863) 285-7121.
NPI number for Dr Charles Robert Fort is 1346328812 and his current mailing address is 330 East Broadway Street, Fort Meade, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346328812.
Healthcare Provider's Profile
| Full Name | Dr Charles Robert Fort |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
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| Location | 330 East Broadway Street, Fort Meade, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1346328812
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Charles Robert Fort such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346328812 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 8002 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Charles Robert Fort is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Charles Robert Fort, DMD
330 East Broadway Street,
Fort Meade, FL 33841
Ph: (863) 285-7121 | Dr Charles Robert Fort, DMD
330 East Broadway Street,
Fort Meade, FL 33841
Ph: (863) 285-7121 |
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