Fortenberry, Susan Cope

Fortenberry, Susan Cope is an individual health care provider with primary practice located at 5315 Highway 18 W , Jackson MS 39209-9421. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Fortenberry, Susan Cope can be contacted via phone (601) 922-0066.

Contact Information

Primary practice address
5315 Highway 18 W Jackson MS 39209-9421
Phone: (601) 922-0066
Fax: (601) 922-0077
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 3429-07 Mississippi

Profile Details

NPI number 1083936132
LBN Legal business name Fortenberry, Susan Cope
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2010
Last updated Feb 17th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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