Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Susan Cope Fortenberry, DMD

Individual provider Pediatric Dentistry · NPI 1083936132

Dr. Susan Cope Fortenberry, DMD is a Pediatric Dentistry in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2010.

Licensed in
MS
In the registry since
2010
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

5315 Highway 18 W
Jackson, MS 39209-9421
Phone: (601) 922-0066
Fax: (601) 922-0077
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 3429-07 (MS)

Record details

NPI number1083936132
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedFebruary 17, 2010
Last updated in NPPESFebruary 17, 2010

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