Dr Susan Cope Fortenberry, DMD - Dentist in Jackson, MS

Dr Susan Cope Fortenberry, DMD is a Dentist - Pediatric Dentistry based in Jackson, Mississippi. Dr Susan Cope Fortenberry is licensed to practice in Mississippi (license number 3429-07) and her current practice location is 5315 Highway 18 W, Jackson, Mississippi. She can be reached at her office (for appointments etc.) via phone at (601) 922-0066.

NPI number for Dr Susan Cope Fortenberry is 1083936132 and her current mailing address is 5315 Highway 18 W, Jackson, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083936132.

Contact Information

Dr Susan Cope Fortenberry, DMD
5315 Highway 18 W,
Jackson, MS 39209-9421
(601) 922-0066
(601) 922-0077

Map and Direction




Healthcare Provider's Profile

Full NameDr Susan Cope Fortenberry
GenderFemale
SpecialityDentist - Pediatric Dentistry
Location5315 Highway 18 W, Jackson, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083936132
  • Provider Enumeration Date: 02/17/2010
  • Last Update Date: 02/17/2010

Medical Identifiers

Medical identifiers for Dr Susan Cope Fortenberry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083936132NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry 3429-07 (Mississippi)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Susan Cope Fortenberry is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Susan Cope Fortenberry, DMD
5315 Highway 18 W,
Jackson, MS 39209-9421

Ph: (601) 922-0066
Dr Susan Cope Fortenberry, DMD
5315 Highway 18 W,
Jackson, MS 39209-9421

Ph: (601) 922-0066

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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