Individual ProviderSavanna Joy FonkertDentistDental ProvidersPractice Address3685 Henderson Dr, Jacksonville, NC 28546-5218(910) 347-9100(763) 442-7457PECOS EnrollmentBased on the most recent information from CMS, provider Savanna Joy Fonkert does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1932836509Provider TypeIndividualFull NameFonkert, Savanna JoyTitleDr.CredentialDDSGenderFemaleSole ProprietorYesEnumeration Date8/4/2022Last Updated8/4/2022Contact InformationPractice LocationPractice Address3685 Henderson Dr, Jacksonville, NC 28546-5218Phone(910) 347-9100FaxUnlisted FaxMailing LocationMailing Address1003 Meridian Dr, Sneads Ferry, NC 28460-7561Phone(763) 442-7457FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense12934North Carolina