Dr. Susan Cope Fortenberry, DMD - Jackson, MS

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.

Location: 5315 Highway 18 W, Jackson, MS, 39209-9421

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

Address

5315 Highway 18 W

City

Jackson

State

Mississippi

Zip

39209-9421

Phone Number

601-922-0066

Fax Number

601-922-0077

Address

5315 Highway 18 W

City

Jackson

State

Mississippi

Zip

39209-9421

Phone Number

601-922-0066

Fax Number

601-922-0077

Type

Dental Providers

Classification

Dentist

Speciality

Pediatric Dentistry

Taxonomy

1223P0221X

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.

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