Individual provider · Type 1 NPI

William Coleman Fortenberry, DMD

General Practice Dentistry · Madison, MS

NPI number 1417009200 Active

Practice location

7731 Old Canton Rd Ste A
Madison, MS 39110-6115

Call (601) 853-3565 Map

Fax (601) 853-3598

Mailing address

P. O. Box 1547
Madison, MS 39130

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X2543 (MS)
General Practice Dentistry Primary 1223G0001X2543-90 (MS)

General Practice Dentistry: 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.

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About NPI 1417009200

William Coleman Fortenberry, DMD's National Provider Identifier is 1417009200, issued on Jan 18, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Madison, MS. The record was last updated on Apr 22, 2021.