Search › Mississippi › General Practice Dentistry
William Fortenberry, DMD
NPI 1417009200 · on the registry since 2007 · sole proprietor
Practice
- Address
- 7731 Old Canton Rd Ste A
Madison, MS 39110 - Phone
- (601) 853-3565
- Fax
- (601) 853-3598
- Organisation at this address
- Madison Dental Llc
Madison Dental Group, Pllc
Mississippi Center For Advanced Medicine Pc
Mississippi Center For Advanced Medicine, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Also registered as
- Dentist
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-04-22
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