Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUDREY LEE FORTIN, DMD
Active Sole ProprietorAUDREY LEE FORTIN, DMD is a General Dentistry healthcare provider located in JACKSON, Mississippi. NPI 1922688001 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · JACKSON, MS
Registration Details
- NPI Number
- 1922688001
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 12, 2021 (5.3403452544316 yrs)
- Last Updated
- Jul 7, 2022
- License
-
4289-22 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
989 ELLIS AVEJACKSON, MS, 392096256Browse MS providers · Browse ZIP 39209
- Phone
- 7692353919
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in JACKSON, MS
| Name | Credential | NPI |
|---|---|---|
| DR. JEFFERY DALE HARTSOG | DMD | 1518969633 |
| MELANIE PAIGE-BROWN | — | 1649210477 |
| DR. ANDREW K DULANEY | DMD | 1710902119 |
| DR. PEDRO P ALEMAN | DDS | 1255353272 |
| DR. JIMMY DALE VANCE | DMD | 1962425421 |
| DR. CHARLES CULLEY TOLBERT | DMD | 1225051899 |
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.