SYBIL ANN FORTNER DDS NPI 1568665883

NPI Information

  • NPI: 1568665883
  • Provider Name: SYBIL ANN FORTNER, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 504 NW 10TH AVE
    AVA, MO
    ZIP 65608
  • Phone: (417) 683-4831

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NPI Details

Sybil Ann Fortner, DDS is a general practice dentist in Ava, MO. The provider is 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. Sybil Ann Fortner, DDS NPI is 1568665883. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

504 NW 10TH AVE
AVA, MO
ZIP 65608
Phone: (417) 683-4831
Fax: (417) 683-1602

The enumeration date for this NPI number is 6/6/2007 and was last updated on 3/6/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice2007014535MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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