Russell A Fortune Dds Sc - Dental Clinic in La Crosse, WI

Russell A Fortune Dds Sc is a dental clinic (Dentist) in La Crosse, Wisconsin. The current practice location for Russell A Fortune Dds Sc is 1600 Losey Blvd South, La Crosse, Wisconsin. For appointments, you can reach them via phone at (608) 782-8834. The mailing address for Russell A Fortune Dds Sc is 1600 Losey Blvd South, La Crosse, Wisconsin and phone number is (608) 782-8834.

Russell A Fortune Dds Sc is licensed to practice in Wisconsin (license number 2778) and its NPI number is 1982706743. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (608) 782-8834.

Contact Information

Russell A Fortune Dds Sc
1600 Losey Blvd South
La Crosse
WI 54601-6104
(608) 782-8834
(608) 782-5223

Dental Care Clinic Profile

Full NameRussell A Fortune Dds Sc
SpecialityDentist
Location1600 Losey Blvd South, La Crosse, Wisconsin
Authorized Official Name and PositionRussell Alan Fortune (PRESIDENT OWNER)
Authorized Official Contact6087828834
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Russell A Fortune Dds Sc
1600 Losey Blvd South
La Crosse
WI 54601-6104

Ph: (608) 782-8834
Russell A Fortune Dds Sc
1600 Losey Blvd South
La Crosse
WI 54601-6104

Ph: (608) 782-8834

NPI Details:

NPI Number1982706743
Provider Enumeration Date09/02/2006
Last Update Date08/22/2020

Medical Identifiers

Medical identifiers for Russell A Fortune Dds Sc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982706743NPI-NPPES
33429900MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 2778 (Wisconsin)Primary

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