Provider Demographics
NPI:1497791776
Name:DR THOMAS A FORTI DDS PC
Entity Type:Organization
Organization Name:DR THOMAS A FORTI DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:FORTI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-795-7674
Mailing Address - Street 1:5959 S UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80121-2835
Mailing Address - Country:US
Mailing Address - Phone:303-795-7674
Mailing Address - Fax:303-794-8947
Practice Address - Street 1:5959 S UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80121-2835
Practice Address - Country:US
Practice Address - Phone:303-795-7674
Practice Address - Fax:303-794-8947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty