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Search › Mississippi › 1223G0001X

William Fortenberry, DMD

NPI 1417009200 · on the registry since 2007 · sole proprietor

Practice

Address
7731 Old Canton Rd Ste A
Madison, MS 39110
Phone
(601) 853-3565
Fax
(601) 853-3598
Organisation at this address
Madison Dental Llc
Madison Dental Group, Pllc
Mississippi Center For Advanced Medicine Pc
Mississippi Center For Advanced Medicine, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
122300000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-04-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi