DR. WILLIAM COLEMAN FORTENBERRY DMD
NPI 1417009200
Dentist - General Practice in Madison, MS

Active since January 18, 2007
7731 OLD CANTON RD STE A, MADISON, MS 39110(601) 853-3565(601) 853-3598 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. William Coleman Fortenberry Dmd NPPES

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

DR. WILLIAM COLEMAN FORTENBERRY DMD (NPI 1417009200) is an individual general practice provider in Madison, Mississippi, licensed in Mississippi (2543-90) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1417009200
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. WILLIAM COLEMAN FORTENBERRYCredential: DMD
Location Address7731 OLD CANTON RD STE AMadison, MS 39110-6115
Mailing AddressP. O. Box 1547Madison, MS 39130 · (601) 853-3565 · Fax (601) 853-3598
Fax(601) 853-3598
Sole ProprietorYes
Enumeration DateJanuary 18, 2007
Last NPPES UpdateApril 22, 2021
NPPES CertifiedApril 22, 2021
NPI 1417009200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MS · 2543-90
Definition
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.
Also ListedDentistTaxonomy 122300000X · License 2543 (MS)
7731 OLD CANTON RD STE A, Madison, MS 39110

Other Names 1

Professional Name (2)Dr. Cole Fortenberry Dmd

Other Identifiers 1

Other2543MS · Dental License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
7731 OLD CANTON RD STE A
MADISON, MS 39110
Clinic/Center (Dental)
7731 OLD CANTON RD STE A
MADISON, MS 39110
Dentist
7731 OLD CANTON RD STE A
MADISON, MS 39110

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 William Fortenberry's NPI number?

The NPI number for William Fortenberry is 1417009200. It was assigned to this individual provider in the NPPES registry on January 18, 2007. The provider is also known as Dr. Cole Fortenberry Dmd.

Where is William Fortenberry located?

William Fortenberry practices at 7731 Old Canton Rd Ste A, Madison, MS 39110. The listed phone number is (601) 853-3565.

What is William Fortenberry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does William Fortenberry accept?

Health plans from Humana and Renaissance Dental list William Fortenberry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for William Fortenberry was last updated on April 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.