National Provider Identifier
Matthew Edward Fortna, DMD
Matthew Edward Fortna, DMD is listed in the NPPES registry with a primary specialty of Orthodontics and Dentofacial Orthopedics Dentistry in Fredonia, NY and a listed phone number of (716) 672-2002.
Profile Overview
- NPI
- 1316162951
- Provider Type
- Individual
- Primary Specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Enumeration Date
- April 17, 2007
- Last Updated
- May 15, 2025
Practice Location
- 10261 Route 60
- Suite 2
- Fredonia, NY 14063-1419
Phone: (716) 672-2002
Mailing Address
- 3478 Stone Quarry RD
- Fredonia, NY 14063-9791
Specialties
- Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X)
Full Record
- NPI
- 1316162951
- Entity Type
- Individual
- Last Name
- Fortna
- First Name
- Matthew
- Middle Name
- Edward
- Name Prefix
- Dr.
- Credential
- DMD
- Mailing Street Address
- 3478 Stone Quarry RD
- Mailing City
- Fredonia
- Mailing State
- NY
- Mailing ZIP Code
- 14063-9791
- Mailing Country
- US
- Mailing Phone
- (716) 672-2270
- Practice Street Address
- 10261 Route 60
- Practice Address Line 2
- Suite 2
- Practice City
- Fredonia
- Practice State
- NY
- Practice ZIP Code
- 14063-1419
- Practice Country
- US
- Practice Phone
- (716) 672-2002
- Practice Fax
- (716) 672-2012
- Enumeration Date
- April 17, 2007
- Last Updated
- May 15, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- May 15, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X)
- Other Identifiers
- 03376905 (NY)