Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SUSAN COPE FORTENBERRY, D.M.D.

Active

DR. SUSAN COPE FORTENBERRY, D.M.D. is a Pediatric Dentistry healthcare provider located in JACKSON, Mississippi. NPI 1083936132 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · JACKSON, MS

Registration Details

NPI Number: 1083936132
Provider Type: Individual
Gender: Female
NPI Issued: Feb 17, 2010 (16.503828959784 yrs)
Last Updated: Feb 17, 2010
License: 3429-07 (MS)

Practice Information

Address: 5315 HIGHWAY 18 W

JACKSON, MS, 392099421
Browse MS providers · Browse ZIP 39209
Phone: 6019220066
Fax: 6019220077
Primary Specialty: Pediatric Dentistry
1223P0221X

Other Pediatric Dentistry Providers in JACKSON, MS

Name	Credential	NPI
DR. GAIL V BENTON	D.D.S.	1497747661
DR. WILLIAM KEITH DUNCAN	D.D.S.	1790719169
DR. LUBNA FAWAD	D.D.S	1548273576
DR. WILHELMINA FOUCHE O'REILLY	D.D.S.	1609974757
DR. NEVA PENTON EKLUND	D.M.D.	1356416556
DR. TERESA MIXON PERKINS	DMD	1164579504

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.