Search › Mississippi › 1223G0001X
Audrey Fortin, DMD
NPI 1922688001 · on the registry since 2021 · sole proprietor
Practice
- Address
- 989 Ellis Ave
Jackson, MS 39209 - Phone
- (769) 235-3919
- Organisation at this address
- Hattiesburg Road Dental, P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Additional practice sites
- 649 Muirwood Cir, Ridgeland, MS
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 390200000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-07
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