person
Dr. Susan Cope Fortenberry, DMD
Pediatric Dentist in Jackson, Mississippi
NPI 1083936132

Susan Cope Fortenberry is a Pediatric Dentist based in Jackson, MS and is specialized in Pediatric Dentistry. Susan Cope Fortenberry practices in Jackson, MS and has the professional credentials of DMD. The NPI Number for Susan Cope Fortenberry is 1083936132 and holds a License No. 3429-07 (Mississippi).

The current practice location address for Susan Cope Fortenberry is 5315 Highway 18 W, Jackson, MS and can be reached out via phone at 601-922-0066 and via fax at 601-922-0077. You can also correspond with Susan Cope Fortenberry through the mailing address at 5315 HIGHWAY 18 W, JACKSON, MS - 39209-9421 (mailing address contact number: 601-922-0066).

Location: 5315 Highway 18 W, Jackson, MS, 39209-9421
person
Provider Profile Details
NPI Number
1083936132
Provider Name
Susan Cope Fortenberry
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
5315 Highway 18 W, Jackson, MS, 39209-9421
Phone Number
601-922-0066
Fax Number
601-922-0077
Provider Enumeration Date
02/17/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5315 Highway 18 W
City
State
Zip
39209-9421
Phone Number
601-922-0066
Fax Number
601-922-0077
person
Provider Business Mailing Address Details
Address
5315 Highway 18 W
City
State
Zip
39209-9421
Phone Number
601-922-0066
Fax Number
601-922-0077
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
3429-07 (Mississippi)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.

Similar Doctors in Jackson, Mississippi: