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DR. SUSAN COPE FORTENBERRY D.M.D.
NPI 1083936132
Dentist - Pediatric Dentistry in Jackson, MS

Active since February 17, 2010
5315 HIGHWAY 18 W, JACKSON, MS 39209(601) 922-0066(601) 922-0077 Get Directions Write a Review

NPPES record last updated: February 17, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Susan Cope Fortenberry D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUSAN COPE FORTENBERRY D.M.D. (NPI 1083936132) is an individual pediatric dentistry provider in Jackson, Mississippi, licensed in Mississippi (3429-07) and active in the NPI registry since February 2010.

NPPES Registry Identity

NPI1083936132
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. SUSAN COPE FORTENBERRYCredential: D.M.D.
Location Address5315 HIGHWAY 18 WJackson, MS 39209-9421
Mailing Address5315 Highway 18 WJackson, MS 39209-9421 · (601) 922-0066 · Fax (601) 922-0077
Phone(601) 922-0066
Fax(601) 922-0077
Sole ProprietorNo
Enumeration DateFebruary 17, 2010
✔ NPI 1083936132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MS · 3429-07
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
5315 HIGHWAY 18 W, Jackson, MS 39209
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEDIATRIC DENTISTRY, P.A.
Dentist (Pediatric Dentistry)
5315 HIGHWAY 18 W
JACKSON, MS 39209
Hinds County (601) 922-0066
DR. MARTHA MANGUM HOLLAND D.M.D.
Dentist (Pediatric Dentistry)
5315 HIGHWAY 18 W
JACKSON, MS 39209
Hinds County (601) 922-0066

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Fortenberry's NPI number?

The NPI number for Susan Fortenberry is 1083936132. It was assigned to this individual provider in the NPPES registry on February 17, 2010.

Where is Susan Fortenberry located?

Susan Fortenberry practices at 5315 Highway 18 W, Jackson, MS 39209. The listed phone number is (601) 922-0066.

What is Susan Fortenberry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Susan Fortenberry was last updated on February 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.