Search › Mississippi › 1223P0221X
Susan Fortenberry, D.M.D
NPI 1083936132 · on the registry since 2010
Practice
- Address
- 5315 Highway 18 W
Jackson, MS 39209 - Phone
- (601) 922-0066
- Fax
- (601) 922-0077
- Organisation at this address
- Pediatric Dentistry, P.A.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223P0221X
1223P0221X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-02-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi