Audrey Lee Fortin, DMD - Jackson, MS

Audrey Lee Fortin, DMD

General Practice Dentistry in Jackson, Mississippi

NPI 1922688001

Audrey Lee Fortin is a General Practice Dentistry based in Ridgeland, MS and is specialized in General Practice. Audrey Lee Fortin practices in Jackson, MS and has the professional credentials of DMD. The NPI Number for Audrey Lee Fortin is 1922688001 and holds a License No. (Mississippi).

The current practice location address for Audrey Lee Fortin is 989 Ellis Ave, Jackson, MS and can be reached out via phone at 769-235-3919.

Location: 989 Ellis Ave, Jackson, MS, 39157-3623

NPI Number

1922688001

Provider Name

Audrey Lee Fortin

Credential

DMD

Provider Entity Type

Individual

Gender

Female

Address

989 Ellis Ave, Jackson, MS, 39157-3623

Phone Number

769-235-3919

Fax Number

Provider Enumeration Date

04/12/2021

Last Update Date

03/10/2024

Address

989 Ellis Ave

City

Jackson

State

Mississippi

Zip

39209-6256

Phone Number

769-235-3919

Fax Number

Address

989 Ellis Ave

City

Jackson

State

Mississippi

Zip

39209-6256

Phone Number

769-235-3919

Fax Number

Type

Dental Providers

Classification

Dentist

Speciality

General Practice

Taxonomy

1223G0001X

License No.

4289-22 (Mississippi)

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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