NPI
Susan Cope Fortenberry
NPI 1083936132
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- D.M.D.
- Type
- Individual
- Enumeration date
- 2010-02-17
- Last updated
- 2010-02-17
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Specialties
Licenses
- License MS
- 3429-07
Location
- Practice location
- 5315 Highway 18 W
- City
- Jackson MS
- Postal code
- 39209-9421
- Phone
- (601) 922-0066
- Fax
- (601) 922-0077
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Pediatric Dentists in Jackson, MS. 19 with this primary taxonomy in the public file.
Other NPIs in Jackson, MS. 8,701 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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