Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WILLIAM COLEMAN FORTENBERRY, DMD
Active Sole ProprietorDR. WILLIAM COLEMAN FORTENBERRY, DMD is a General Dentistry healthcare provider located in MADISON, Mississippi. NPI 1417009200 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · MADISON, MS
Registration Details
- NPI Number
- 1417009200
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 18, 2007 (19.532416855779 yrs)
- Last Updated
- Apr 22, 2021
- Licenses
-
2543 (MS)2543-90 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7731 OLD CANTON RD STE AMADISON, MS, 391106115Browse MS providers · Browse ZIP 39110
- Phone
- 6018533565
- Fax
- 6018533598
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in MADISON, MS
| Name | Credential | NPI |
|---|---|---|
| DR. RICHARD L. SMITH | DMD | 1073526760 |
| WILLIAM OSCAR RIVES II | DMD | 1801981568 |
| SUMRALL POOLE | D.M.D. | 1558438275 |
| DR. TRACEY LAMAR DOUGLAS | DMD | 1881751584 |
| JAN M COSSAR | D.M.D. | 1508916073 |
| DR. SARAH CRISLER CARLISLE | D.M.D. | 1255482592 |
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.