P Praxis·MD
● Active Type 1 · Individual

DR. Dennis Keith Fortson, D.M.D

Dentist·Jackson, GA· NPI 1548607765 · Enumerated 2013 · 12 years on NPI
Fortson is 1 of 2 dentist providers in Jackson and 1 of 4309 in Georgia.
NPI age
12 years
Enumerated 2013-05-29
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-11-01
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 4309 active dentist providers in Georgia.

NPI age
12 years
↓ 6 yr below median (18 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-05Enumerated in NPPES
2013 2026

Where they practice

Practice location
151 S Harkness St
Jackson, GA 302331832
📞 7707754550fax 7707754338
Mailing address
151 S Harkness St
Jackson, GA 302331832
📞 7707754550fax 7707754338

Specialties

  • Dentist Primary
    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.
    GA license #8764 taxonomy 1223G0001X

Identifiers

TypeValueNotes
05 (GA) 000136694A

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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